HomeMy WebLinkAboutFilled Land Affidavit G&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
JUN 10 ig 10
n
go,ig
U
FILLED LAND AFFIDAVIT
ST. Lucie county, Permitting
1,the undersigned, am the owner ofthe following described property,
"S
(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 _ \t\or-'O I q 6 , 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 no*r liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property cr Name(Please Print)
roe Owner Signature Date
STATE OF FLORIDA,COUNTY OFA)r, C-'%'(Z
ACKNOWLEDGED BEFORE NO THIS DAY OF '-5%)'VN4 20
By IS PERSONALLY KNOWN TO ME C__)OR WHO HAS
PRODUCED— AS IDENTIFICATION.
SIGNATURE OF OF iNARY�PUBLI�C � TYPE OR PRINT NOTARY
GAP�a_ 6_alaCOMMISSION NUMBER
DEr,,Mt4A MARIE
GG 622 2
jk n
M)
cember 14;2,020
EXPIRES.-0&
04° 13.nd.d ThT
U
SLCPDSD Revised 04/1112011