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HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT . Building&Code Regulations Division • - 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 — RECEIVED FILLED LAND AFFIDAVIT MAY 2 4 2018 ST. Lucie County, Permit - ST th e undersigned, am the owner of the following described property, 'r" `n1 GT(� Or (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 , 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. �Jerrr; c In l Ql"1c- Proppeerty Owner Name(Please Print) Property Owner Signature Date STATE OF FLORIDA,COUNTY OF 17C+Vrya ACKNOWLEDGED BEFORE ME THIS DAY OF ' ` %,. 20 1"t BYy, �� ..WHO IS PERSONALLY KNOWN TO ME(�OR WHO HAS PRODUCED '�, L D1�N� AS IDENTIFICATION. CSC �91.Hc.IL e� [GN TUBE OF NOTARY P LIC TYPE OR PRINT NOTARY COMMISSION NUMBER LASHANNA 81WAM :•_ ¢ NOary Public-stw e119or:ldI, Nly COW.expires Deo 20,2018 Commission #FF 177249 OF F�O,�.. " Bonded through National Notary Asm. SLCPDSD Revised 04/11/2011