HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
i+ Building& Code Regulations Division RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 FEB 2 7 2019
6dile EdNilxy{ �'�f:1r!It�iflyf�
FILLED LAND AFFIDAVIT ST: -m
I,the undersigned, am the owner of the following described property,
fTp�/q-6642-- I
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(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(Ple a Print)
P rty Owner Si a Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF _ �UgAll 20
BY VZnf)4 GImo` WHO IS PERSONALLY KNOWN TO ME(El OR WHO HAS
PRODUCED ` rl eJA Q-nj�. AS IDENTIFICATION.
i-P n V==nL w lee's
SIGN URE OF NOTARY PUBLICE OR R PRINT NOTARY
('01119ONMSSION N �%g; JENNIFER N.KNOWLES
� ..: MY COMMISSION#GG 061795 t AL)
EXPIRES:January 11,2021
Swded T1vu Notary PubGo Underwriters
SLCPDSD Revised 04/11/2011