HomeMy WebLinkAboutFilled Land Affidavit l
PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 RECEIVES
(772)462-1553
FILLED_ LAND AFFIDAVIT MAR 0 5 0319
ST. Lucie County, Permittit1p
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 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.
by�cA- C�
Property O r Name(Please Print)
t'�r V-C-, - 3 L51 Vill
Prope O r ignature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF-If"6' 20-11--
BY
011BY moi., G C 0. @ WHO IS PERSONALLY KNOWN TO ME(El OR WHO HAS
PRODUCED L' Q L' AS IDENTIFICATION.
SIGNATURE OF NOTA&Y PUBLIC TYISOR PRINT NOTARY
(sGaaa.oa3 COMMISSION NUMBER MARIE GIVENS
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ISSION#GG 022023���ber16,2020
ota PublicUndenvriiers
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SLCPDSD Revised 04/11/2011