HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 RECEIVED
(712)462-1553
AUG 0 7 2018
FILLED LAND AFFIDAVIT
ST. Luofe County, Pormitting
I,the undersigned, am the owner of the following described property,
arcel Id /Legal description/ ddress)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number \ �ad3, 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 Oivner Name(PI ) i
3—7- 1
Owner Signature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS L DAY OF v`� 20 K— ,
BYi'V�] �^^5 (� WHO IS PERSONALLY KNOWN TO ME(1:1)OR WHO HAS
PRODUCED �' V AS IDENTIFICATION.
�SIGNATEOFAR�YPUBLI�C � TYPE OR PRINT NOTARY
`COMMISSION NUMBER
,••!,N,. Dra,41,1NA fOARIE GIVENS
'P• '�, MY t;(i3 )WN#GG 022023
EXPIRES:December 16.2020
=;;kP eerded?tw Notary Public Underwriters
INN
SLCPDSD Revised 04/11/2011