HomeMy WebLinkAboutFilled Land Affidavit C ; 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,
SyUcf -'90_7 - Oo0`7—. COD/�
(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
T04.01(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.
Lei 1
Properywner me(Please Prin
f
AA'09
09— c
Prop Owner Siafore Date
STATE OF FLORIDA,COUNTY OF_S�'blot4_4,t.-CJ
ACKNOWLEDGED BEFORE NIX THIS Z DAY OF 2 JC7 ,
BY WHO IS PERSONALLY KNOWN ME OR WHO HAS
PRODU D AS IDENTIFICATION.
Al 4
SI NOTARY PUBLIC TYPE OR PRor NOTARY
COMMISSION NUMBER
(SEAL)
,,•,Y P�•,��
WZ .�"
� ANNY M.GUZMAN= Notary Public-State of Florida
SLCPDSD Revised 04/11/2011 - Commission#GG 037233
-• •-Ff�oP�' My comm.,Expires Oct 10,2020