HomeMy WebLinkAboutFilled Land Affidavit .. RECE
IV
ED
M/YR I8 020
PLANNING&DEVELOPMUM SERVICES DEPAR
— " Lucie County, Permitkin
Building&Code Regulations Division
• ' 1 0 A 2300 VIRGINU AVEC JOSEPH E.SMITH,CLERK OF THE�CUIT COURT
FORT PIERCE,FL 3498:G--5652 SAINT LUCIE COUNTY
(772)462-1553. FILE# 4688548 03117/202010:38:10
OR BOOK 4397 PAGE 276-277 Doc Type:AFF
RECORDING: $18.50
FILLED LAND AFFIDAVIT
i
I,the undersigned,am the owner of the following described property,
. 57 6 ? 0001-/
(Parcel Id#q q*description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance .with Section
7.04.41(D),St.Lucie County Land Development Code,I shall be responsible for as$urmg
adequate drainage so that,the immediate community WELL 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 farm,
adequate drainage off my property which will not adversely affect the immediate
community..
Property er Name(P a Pip*
X 2 _zi n
op er Signature Date
-STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS- DAY OF 1��. ;20W .
BY IS PERSONALLY KNOWNTO ME([j)OR WHO HAS
PRODUCED AS IDENTIIFIC'fATTIO�N.
SI OF NO T ��
•COMMISSION NUMBER
Atriei Campbell ,
TARY PUBLIC
rr-I'mipires
TE OF FLORIDA
w, mm#GG939116
l E t 17J11/2023
SLCPDSD Revised 04/11/201 I