HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT FEB 2 7 2020
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
Lv� `ix lnL�la_Ic - SY/t-'fkrs 14'14 .� A 120 ry�A1XQ` L_ WAY
(Parcel IdAegal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number�)�d-..hi01a:1, 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.
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jProperwn�er
wnerName(Ple se int)
riy OSignature Date
STATE OF FLORIDA,COUNTY OF�
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 a
BY C`( w�-`n( WHO IS PERSONALLY KNOWN TO ME EI)OR WHO HAS
PRODUCED IQ AS IDENTIFICATION.
SIGNATURE OF N ARY PUBLIC TYPE OR PRINT NOTARY
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SLCPDSD Revised 04/11/2011