HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT
'. - Building�&Code.Regulations Division
2300NIRGINIA AVENUE;
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned,am the owner of the following described property,
(Parcelldftk-gal,d6kiipdon'/Address)
for which�l'have 'applied'f' St. 'Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number, , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D),St.Lucie County Land.Development Code,;I shall be responsible for assuring
adequate:drainage;so that.the,immediate;community;WILL NOT be,adversely.affected.
I further acknowledge that,in granting this permit;for the:development:of this property,
St. Lucie-County;is,neither obliged nor,liable to provide for, or!maintain .in.any form,
adequate -drainage .-off..my-property which,,will..not ,adversely affect the -immediate
community.
Name(POW lease
(Please )`/
Pro igh Date'
STATE OF FLORIDA,COUNTY OF X1.1 I I k l C f 1.
ACKNOWLEDGED BEFORE ME THIS I DAY OF V�D1G f 20 I ,
1 .
BY' CV WHO iS/PERSONALLY=KNOWN TOME Q OR WHO HAS'''
PRODUCED AS IDENTIFICATION..
oil
SIG TURF OF/NOTARY PUBLIC TYPE OR PRINT NOTARY
Oh CON MISSION NUMBER
(SEAL) :. .
Eleanor A.Sexton 5
NOTARY PUBLIC
SLCPDSD Revised 04/11/2011 *Expires
STATE OF FLORIDA
Comm#GG166366
12/7/2021