HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
• 2300 VIRGINIA AVENUE —
FORT PIERCE,FL 34982-5652 RECEIV5-d
(772)462-1553
MAR 18 2,0620
FILLED LAND AFFIDAVIT F.
ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
(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 asguringu.,'
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.
LA
P e a e Please Print
P Own N � )
1
cana �
Pr pe er Signature Date
STATE OF FLORIDA,COUNTY OF
WLEDGED B OREE HIS� DAY OF ,20_Z6_,
BY WHO IS PERSONALLY KNOWN TO ME CO)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SI A URE OF O AR IC TYPE OR PRINT NOTARY
COMMISSION NUMBER
KAREN S. NIELSEN (SEAL)
SPAY�U6
;=o ��;State of Florida Notary Public
•_ Commission #GG 207484
9�Fo11`oe My Commission Expires
June 12, 2022
SLCPDSD Revised 04/11/2011