HomeMy WebLinkAboutFilled Land Affidavit RECEIVEt-D
PLANNING&DEVELOPMENT SERVICES DEPARTME
Building&Code Regulations Division JAN Q 209y
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 ST. Lucie County, Permitting
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
(Parcel Id# egal 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
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.
ell k
Property Owner Name lease Print)
t —
PropertyOwner Signa a Date
STATE OF FLORIDA,COUNTY OF C l�f'
ACKNOWLEDGED BEFORE ME THIS DAY OFF (' 20-11--
BY _ M 11 IS PERSONALLY KNOWN TO ME(El OR WHO HAS
PRODUCED - P t— AS IDENTIFICATION.
�^��S•IGN^A.T,URE OF NOT Y PUBLIC TYPE OR PRINT NOTARY
W' ,aC/ COMMISSION NUMBER
(SE
RYP��, EL
e
_» _State Gf FEN y'4UGy
SLCPDSD Revised 04/11/2011 , no`°;� My CoSsio a GG��Public
remission Ex 0079
October 22, 2022ires