HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT.
Building&Code Regulations Division RECENED
2300 VIRGINIA AVENUE
FORT PIERCE,Fl,34982-5652 APR 0 2 2018
(772)462-1553
Permitting Department
FILLED LAND AFFIDAVIT St. Lucie County
I,the undersigned, am the owner of the following described property,
3� GV•r1
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 11303-(39 D-a- , 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.
Property Owner Name(Pleas nt)
P e Owner Ignature Date
STATE OF FLORIDA,COUNTY OF , //��
B24-1�
ACKNOWLEDGED BEFORE THIS Do` DAY OF (2b ��j/ 20 ,
BY e S 'Pull I I a�f�l�l WHO IS PERSONALLY KNOWN TO ME(,12 OR WHO HAS
PRODUCED 1 AS IDENTIFICATION.
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rSIGNATURE OF NOTAR P LIC \ TYPE OR PRINT N ARY
F 9 COMMISSION NUMBER
SHIRLEY K.BEMENDERFER
Commission#FF 989655
`-� 'Expires
Bonded Thu% y FainnsuranCe 800.385.7019
SLCPDSD Revised 04/11/2011