HomeMy WebLinkAboutFilled Land Affidavit ��-- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
• 2300 VIRGINIA AVENUE _��•-•- -
FORT PIERCE,FL 34982-5652 LRtUtIVED
(172)462-1553
0FILLED LAND AFFIDAVIT
unty,Permitting
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I,the undersigned, am the owner of the following described property,
doh -(j 2 20 -- Ddd - `/
(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 t)
Property Owndrsignatide Date
STATE OF FLORIDA,COUNTY OF i WLR!
ACKNOWLEDGED BEFORE ME-THIS ` DAYOF G1U�� 20 1
BY 2.C�DC(a�1hpoMMM WHO IS PERSONALLY KNOWN TO ME ❑U OR WHO HAS
PRODUCED A E"Se AS IDENTIFICATION.
Coe-
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`I�• V L W� l/1��
SI NATURE OF N TAR PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
E'..n-
NICOLE K VELARDO
SLCPDSD Revised 04/11/2011 '' MY COMMISSION#GG140099
x°f' EXPIRES 0veMber V.2019