HomeMy WebLinkAboutFilled Land Affidavit PLANNING& DEVELOPMENT SERVICES DEPARTMENT
COUNTY Building&Code Regulations.Division
2300 VIRGINIA AVENUE RECEIVE
FORT PIERCE,FL 34982-5652
(772)462-1553
� JUL 05 2U18
FILLED LAND AFFIDAVIT ST. Lucle cowmty, Permitcinn
I,the undersigned, am the owner of thefollowing described property,
(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.
Property Owner Name(Please int)
perty Owner ' afore Date
AA I 10AG
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 �O
BY=-0 ` 4 MA-f WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF N_0TkRYftffLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
,, KAREN S. NIEL��1
o-State of Florida Notary Public
•= Commission #GG 207484
My Commission Expires
June 12, 2022
SLCPDSD Revised 04/11/2011