HomeMy WebLinkAboutInspection Docs PLANNING&DEVELOPMENT SERVICES DEPARTMENT_
Building&Code Regulations Division
• 2300 VIRGINIA AVENUERECE�WI�
FORT PIERCE,FL 34982-5652
(772)-462-1553
JUN 2 0 2019
FILLED LAND AFFIDAVIT • ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
I VA? -/40Z- 1098 —000"2
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a F' al 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.
Property weer Nam eDp�r
roperty Own r Signigure Date
STATE OF FLORIDA,COUNTY OF • G•�(/
KNOWLEDGED BEF04 ME THIS Q_DAY OF_r ot'_ L� 20_t /
(1
BY tl ,k�I l �QC.C� WHO IS PERSONALLY KNOWN TO ME L )OR WHO HAS
PRODUCED AS IDENTIFICATION.
,1
SIGN URE O Y PUBLIC T E OR PRINT OTARY
CO
;ter^&e'o NI
KAREN S. ELSEN
State of Florida-Notary Public (SEAL)
•= Commission #GG 207484
My Commission Expires
June 12, 2022
SLCPDSD Revised 04/11/2011