HomeMy WebLinkAboutFilled Land Affidavit r
1
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
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2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT FEB 2 6 'C"'019
ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
ass 2w,m, i Rver e yf ,3yci�rdL
(Parcel IM/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 TXase Print)
Property Owner ture ate
STATE OF FLORIDA,COUNTY OF .LJZ�e
ACKNOWLEDGED BEFORE ME THIS DAY OF .20 I
BY R..�►{t 5 bra CL WHO IS PERSONALLY KNOWN TO ME Q OR WHO HAS
PRODUCED tel' U `- AS IDENTIFICATION.
��arra G �Vex��
SIGNATURE OF NO Y PUBLIC TYPE OR PRINT NOTARY
dolcyQ 3.�COMMISSION NUMBER 'r'ai'••, DEANNAMARIE GINIEN3
:r MY COMMISSION#GG 0220''.3 !4
EXPIRES.{6 a@er 16,2020
'�"eoFF�op'
Bonded-fhruNotary Public Un'an."',
SLCPDSD Revised 04/11/2011