HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
I, the undersigned, am the owner of the fallowing described property,
(Parcel
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 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.
STATE OF FLORIDA, COUNTY OF
Date
ACKNOWLEDGED BEFORE ME THIj3S t DAY OF 20
BY �� - 6 WHO IS PERSONALLY KNOWN TO ME La -OR WHO HAS
PRO UCED
SIGNATURE OF NOTARY PUBLIC
SLCPDSD Revised 04/11/2011
COMMISSION NUMBER
TYPE OR PRINT NOTARY
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RHONUAS R®WE
Commission # GG 104656
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Expires May 19, 2021
Bonded ThruBudgetNotary Services
(SEAL)
AS IDENTIFICATION.