HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the.following 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 m 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.
Awl
dropbA. Name(P1 Print) .
aZ=
43roperty Own Si Dat
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE MEHI
TS DAY OF 20 j
BY_L._ou Ann i Pn�L h WHO IS PERSONALLY KNOWN TO ME([:l OR WHO HAS
PRODUCED I�,��1•l��i d�'iyp,- ,1 CQn�P AS IDENTIFICATION.
JLii16Mat/ J�.11Z_ �vLIC L��J
��S).NATURE OF 1 OTARY PUBLIC TYPE OR PRINT NOTARY
COMNESSION NUMBER
(SEAL)
NOELLE L SOTOMAYOR
Notary Public-State of Florida
Commission#GG 169946
SLCPDSD Revised 04/11/2011 wn My Comm.Expires Jan 29.2022