HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
............
a a 10111 1 Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FELLED LAND AFFIDAVIT
1,the undersigned, am the owner of the following described property,
(Parcel ld#/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.
L
Property Owner Name(Please Print)
Prope wner ignature Date
STATE OF FLORIDA,COUNTY OF :�AAULAQ�Q a
ACKNOWLEDGED BEFORE ME THIS DAY OF
BY O�. WHO IS PERSONALLY KNOWN To ME(0)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUTYPE OP,PRINT NOTARY
-COMMISSION NUMBER
(SEAL)
BUDRFORD
HEATHER
Florida-Notary Public
61�State of 'c
SLCPDSD Revised 04/11/2011 Commission#GG 183217
wwj Expires OFFL My commission Expires
0
Febr"ry 06, 2022