HomeMy WebLinkAboutFilled Land Affidavit I I
q PLANNING&DEVELOPMENT SERVICES DEPARTMENT-
Building&Code-Regulatians DivisiDn
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34932-5652
(772)452-3553
I,the undersigned;'am the owner of the fallouring,describes:property; .
�'$tce��d#l�egal.�es�rigittottla� ess}.
I
for which .I have .applied to St_ :Lucie .County for a Tinal, Development Parm€t, In,
accepting this-.Final Development Permit, BP Number , I:acknoivlecige I
:that as owner .of-,rhe above described :property, and, in: accordance with Section
1.04.01(D),.St.Lucie County Land Development Code;I shall be responsible for assuring
adequate drainage so that,the immediate community WILL'NGT be adversely-affected.
I further acknowledge that in-emnting this,permit for the development of this property,
St- Lucie County;is neither obliged nor liable to:provide for, ornsaintain in:any form,
adequate drainage off any property which will not adversely affecect the immediate
community.
A41C.10 �. t
Property Owner Narne(Please Print)
'operty. Signature Date
STATE OF FLORIDA,COUNTY OF I tJ T�'I A 0 U E Yz--
ACK iOWLEDGED SEFOR E.NIE THIS DAY of A 9Q_\
sY FA8ki Ci o,.T, BU E YJ 0 YM0lS PERSONALLY.KT W' \'Zi0A1E01.1 1V30 HAS
?RoD ci D rL t>L AS MENIMCAnON-
SIGNATURE OF\OTARY,Fra LIC TYPE Oat P'RL\'T NOTARY
6Gcommi s s oN.Nwma
I
,.o<aYx� :• ARTAUMLLENWARNER
Notary Public-State of Florida
Commission#GG 937451
My Comm.Expires Dec 5,2023
SLCPDSD Reused 0411120I'i
I
I
i
I