HomeMy WebLinkAboutFilled Land Affidavit y Y
PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
._._._........'............
2300 VIRGINIA AVENUE
FORT PIERCE,Fl,34982-5652 RECEIVED
(772)462-1553
FEB 2 0 2019
FILLED LAND AFFIDAVIT
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 F' al Development Permit. In
accepting this Final Development Permit, BP Number I VQ2,-Q- 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.
�WD&qC-79,LA 1?-,W
Property Owner Name(Please Print)
. 9
Properly Owner Signa .e Date'
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFO ME THIS�_DAY OF /' L1� 20 /
BY'50 jD1� 1� WHO IS PERSONALLY KNOWN TO ME(�OR WHO HAS
PRODUCED �f= AS IDENTIFICATION.
�SIAUONOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
SE
�Pavo�a'.
KAREN S. NIELSEN
;r state of Flo ida Notary Public
*= Commission # GG 207484
SLCPDSD Revised 04/11/2011 My commission Expires
June 12, 2022