HomeMy WebLinkAboutFilled Land Affidavit r
PLANNING & DEVELOPMENT SERVICES DEP
ARTM
Building&Code Regulations Division - EIVED
2300 VIRGINIA AVENUE
_._....__:..._'___ .'a.._�...._..._... FORT PIERCE,FL 34982-5652 'A Q 0 8 2019
(772)462-1553
S;. Lucie County, Permitting
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
U1/o :F+j T)ep-re , R, 3 c f �
(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.
9lel
Prop rty Owner Name ON t9
Print)
Ct�l�' 1•t,c VIq n a 3 Fl 1
Property Owner Signature Date
STATE OF FLORIDA,COUNTY 01`6-�
ACKNOWLEDGED BEFORE ME THIS DAY OF -20-4--
13Y
0-4--BY V4Ndl t h L o J\a V\ C) WHO IS PERSONALLY KNOWN TO ME(ElOR WHO HAS
PRODUCED ` 1 AS IDENTIFICATION.
SIGNATURE OF NOT PUBLIC TYPE OR PRINT NOTARY
(�-C Q Zl a V'a:�COMNIISSION NUMBER
E GNENS
DEA
N #1 GG 022023
My COMIJIISSIO mbar 161 2020
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SLCPDSD Revised 04/11/2011