HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
N
FILLED LAND AFFIDAVIT I
OR 0 4'9170
ST, Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
"a/to --do0? DO/0 — UOU — a --
(Parcel IM/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.
/NdaSid , LLC-
Print)
"_ a-- J-o
Property caner Signature (Y /J Date
STATE OF FLORIDA, COUNTY OFF�I
ACKNOWLEDGED BEFOEE RME THIS o2- DAY OF m"C" �, 20 a-O ,
BY I —/SA I r✓ -1� . lq� / j WHO IS PERSONALLY KNOWN TO ME (Ej ) �/OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
PUB`C
RHONDASROWE
2o.�p}IY
Commission# GC 104656
N
Expires M809-2021
SLCPDSD Revised 04/11/2011 ���. ee`O
B,,d,d Thm BYd98tNONPf Ser0c(1
OF F�