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HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT „Si Building& Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 RECEIVED FILLED LAND AFFIDAVITFFEB 2019 ST. Lucie County, Permitting 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 WELL 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) Property Owner Signature Date r STATE OF FLORIDA,COUNTY OF —A, UP ACKNOWLEDGED BEFOREME THIS al DAY OF Y -20 BY �]� m��1(©�S WHO Is PERSONALLY KNOWN TO ME(b OR WHO HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY • COMMISSION NUMBER ` 1YIP�, KAREN S. NIELSEN.... .• `=oto B<<-,State of Florida-Nota(SLP?kI�j lic •_ Commission # 6G.2074. OF My Commission Expires June.12, 2022 SLCPDSD Revised 04/11/2011 f