Loading...
HomeMy WebLinkAboutFilled Land Affidavit • — PLANNING&DEVELOPMENT SERVICES DEPARTMENT Couruvrw " ' Building&Code Regulations Division _ RECEIVED F t o R 1 0 11 =' "2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FEB 0 4 2019 ST. Lucie County; Permitting FILLED LAND AFFIDAVIT I,the undersigned, am the owner of the following described property, /3/2 g°1 D©69 66901- S3d,s- 'Dr (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 Print) 11/6 /!9 . operty Owner Signature Date STATE OF FLORIDA,COUNTY OF DT, LK,, , ACKNOWLEDGED BEFORE ME THIS /6q4-__°� DAY OF N tt-fi t ,20 BY ub t ,84 Kms- WHO IS PERSONALLY KNOWN TO ME(Er;OR WHO HAS PRODUCED AS IDENTIFICATION. )7114'‘;`-1- )114140e..Y Ad.• a). I IX SI IATURE F NOTARY PUBLIC TYPE OR PRINT NOTARY 57/4 COMMISSION NUMBER (SEAL) SLCPDSD Revised 04/11/2011 4' ` �/�ARIL,YN J.Mi', , MYCOMMISSION�F ti '�` EXPIRES:April 04;3u_", rweevidlift, MARILYN J.IvINIY •. rt, MY COMNIISSION#F%"'�y4 a EXPIRES:Apri104,202u • •