HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT-SERVICES DEPARTMENT
Building&Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)4624553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
(Parcel IM/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
i 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 Owner Name lease Print)
l'-
Property Owner SigriaWci _ Date
STATE OF FLORIDA,COUNTY OF 5W1 n1 Sr LUC,l e
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 ,
BY l N1!(I /; SYIc �_ 131i WHO Is PERSONALLY KNOWN TO ME(Ea J OR WHO HAS
,1 �
1
/PRODUCED AS IDENTIFICATION.
GSI NATURE-O WRY UBLIC
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SLCPDSD Revised 04/11/2011 ,