HomeMy WebLinkAboutFilled Land Affidavit i
P,. PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&.Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
RECEIVED
FILLED LAND AFFIDAVIT F AUG 19 2019
i
i ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
1210 I—) �a ticJl
(Parcel Id#/I egal descriphon/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.
IF, r Name(Please Print)
l
5' P'
e O e ignature Date.
STATE OF FLORIDA,COUNTY OF—k4.LL P,li-.
n i
ACKNOWLEDGED BEFORE ME T IS ( DAY OF `� 20
BY O IS PERSONALLY KNOWN TO ME(El OR WHO HAS
PRODUCED AS IDENTIFICATION.
Ah AA
SIG14&1URffOF N TARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
KAREN S. NIELSEN (SEAL)
State of Florida-Notary Public
*- Commission# GG 207484
My Commission Expires
°;;;°� June 12, 2022
SLCPDSD Revised 04/11/2011