HomeMy WebLinkAboutFilled Land AffidavitPLANNING & 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,
/**44 VIUA49-faovs s/O•GN��200 .l7AV IT,
24Z74O -Dodo-0010I- ,►stewreF40-/f-? f P,aR�F�Fc.3s�9g2.
(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 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.
pooszi✓worpo 4g*"VVRg1- espvur e
Property Owner Name (Please Print)
LitLzo--c
Property Owner Signature Date
rM CM an
STATE OF COUNTY OF O a KIAnA.
ACKNOWLEDGEED�D BEFORE ME THIS I WC DAYOF �.20 i.-C7
WHO IS PERSONALLY KNOWN TO ME(lOR WHO HAS
PRODUCED
101g
COMMISSION NUMBER
SLCPDSD Revised 04/112011
IDENTIFICATION.
_VaaLZ KIt-KWnAN
TYPE OR PRINT NOTARY
(SEAL)
VANCE KIRKWOOD
Notary Public . State of Michigan
County of Macomb
My Commisslon Expires Mar 18, 2026
Acting fn the County of ctiK1..1A