HomeMy WebLinkAboutInspection Docs PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT JAN 15 2019
ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
q1o5 Cc•%1a MVV
(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 \N G I- d a,d C;, 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.
Aln neo 1DoWA F-y
Property Owner Name(Please Print)
r
Property Owner Signature Da e
STATE OF FLORIDA,COUNTY OF JT zV!?s
ACKNOWLEDGED BEFORE`M,,E/THIS 1 3 � DAY OF .GT/✓U/g@y 20/,V
BY 1(',;726 �/ _60141111e9' WHO IS PERSONALLY KNOWN TO ME(M)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGWA- URRE OF IqOTARY PUBLIC TYPE OR PRINT NOTARY
zeftT l 1719P�l COMMISSION NUMBER
"r°` •� G �iAWFORD
MYCOMMISSION#GG 179521
�: 'off: EXPIRE&MazCh 29,2022
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SLCPDSD Revised 04/11/2011