HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTM ,NT RECEIVED
Building&Code Regulations Division
• 1 D A 2300VRGINUAVENM MAR 17 2020
FORT P=M FL 34982-5652
(772)462-1553. ST. Lucie County,Permitting
FILLED LAND AFFIDAVIT
I,the undersigned,am the owner ofthe following described property,
(Parte!Id#AAIOI 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. WML 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..
elrr L. Pte rc c
Property er Name(Pi a t)
3 /71do
er igaature D e
STATE OF FLORIDA,COUNTY OF t. U C,
ACKNOWLEDGED BEFORE ME THIS DAY F 19� L-C ,2Q
BY 1 �V7fI0
(8M
P��RSONALLY KNOWNTO ME EJ OR WHO HAS
PRODUCED AS IDENTIFICATION.
�SIOXA NIELSEN OFNOTAR LIC TYPE OR PRINT NO N;: KAREN State of Florida-Notary Public
COMMISSION NUMBER ec CommissionGG 207484
My Commission Expires
rnrr»it` ,June 12, 2022
SLCPDSD Revised 0411111411