HomeMy WebLinkAboutInspection Docs PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
• 2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE,FL 34982-5652
(772)462-1553 AUG 15 2018
FILLED LAND AFFIDAVIT ST. Lucie County, Perrnitting
I,the undersigned, am the owner of the following described property,
a3a� - y3y_ aaa6 , aaG�b
(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 �d0 -aa`I I , 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.
Prope er Name(Pleate Print)
9" � -1
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF �/�-�tG'✓r=
ACKNOWLEDGED BEFORE ME THIS l3 f DAY OF c4 q',�5, ��.20
9 (a—OR
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BY � -Vt l8 F— V i42r\I WHO IS PERSONALLY KNOWN TO ME(L�I)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
3�a�t0 COMMISSION NUMBER
A.
;Ay "' I .Notary Public S e lorida
'co,,,mission At FF 938216
My comm.Expires dan 29,2020
Bonded�tiro ugh National NotaryltW
SLCPDSD Revised 04/11/2011