HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTAEM
Building&Code Regulations Division
• 2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE,FL 34982-5652
(772)462-1553 JUL 13 20118
FILLED LAM AIrMAVff ST. Lucie County, Pdrmitting
1,the undersigned,am the owner of the following described property,
-01-( . -pp,\vc 16-1- rL 314
-.11111 � 1� s tO/��)C,g�
(Parcel IdMqo descAption/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.
Pro er'Kwne(Please Print)
Praper6TY=— er Signature Dad
STATE OF FLORIDA,COUNTY OFARZIA
ACKIJOWLEDGED BEFORE ME TFHS /2�k—VAY OF 120/
By 1-1:-/ PERSONALLY KNOWN TOME d:b0VMMM
PRODUCED AS IDENTIFICATION.
SIGNATURE10-F NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
�M0M200FF2=
E)PRE&JWy17,2D19
SLCPDSDRcvisod04/1IJ201I