HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES.DEPARTMENT
COUNTY
Building& Code Regulations Division
• 2300 VIRGINIA AVENUE -
FORT PIERCE,FL 34982-5652 R E C E I V
(772)462-1553
APR 2 2 2019
FILLED LAND AFFIDAVI
ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
Z_�Dq 01 - abl�S- - )
(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 Q , 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 er a(Please Print)
22
Prope er Signature Dat
r
STATE OF FLORIDA,COUNTY OF
ACKNO DGED BEFORE ME THIS _L DAY OF 20jq_
IS PERSONALLY KNOWN TOME(El OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE rARY PUBLI TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
`S�pY FVBi KAREN S. NIELSEN
a°
-State of Florida-Notary Public
*= Commission # GG 207484
My Commission Expires
SLCPDSD Revised 04/11/2011 ���°
June 12, 2022