HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT
COUNTY Building&Code Regulations Division
• R 1 0 A 2300 VIRGINIA AVENUE _
FORT PIERCE,FL 34982-5652 RECETU
(772)462-1553
FEB 0 3 2020
FILLED LAND AFFIDAVIT Sr. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
Lbo P1 N6&&tb< C7k,
(Parcel Id#/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
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, ormaintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Owner Name(Please Print)
Aor4o_-�_ . 2. 3 - Zai
Prop i ature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _DAY OF J�N 20 as ,
BY .� 1I�,� WHO IS PERSONALLY KNOWN TOME(0)OR WHO HAS
PRODUCED FL_ AS IDENTIFICATION.
�SIGTURE OF NOTARY P LIC �iW_ERINT NOTARY
COMMISSION NUMBER
,,•�;�YP�L,,, KAREN S. NIELSEN
State of Florida-Notary Public
Ct � v Commission #GG 207484
I `oFF�o°� My Commission Expires
SLCPDSD Revised 04/11/2011 ! L�+�`" June 12, 2022
..._
...eY