HomeMy WebLinkAboutFilled Land PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
1405 Rei.6` oo,,e6 e -( t/ -le CO,&el-folIoW -VA If 04 f?_
(Parcel Id#/Legal description/Address) 3S-7 2 -2 Vd3)
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, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
P
artI
Pr perry Owner Name(Please Print)
�%A
Pr perty 04e Signature Date
STATE OF FLORIDA,COUNTY OF L
ACKNOWLEDGED BEFORE ME THIS DAY OF Air F 20 2 a
BY' QA4_N`Ab
- �1QW\2. WHO IS PERSONALLY KNOWN TO ME U OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIONATME OF NOTARY PUBLIC U TYPE OR INT NOTARY
�Q 0� COMMISSION NUMBER
Noary Pudie Stab d 110de
KeIr 285
SLCPDSD Revised 04/11/2011M
I.