HomeMy WebLinkAboutFilled Land Affidavit�! ! PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 REM r
(772)462.1553
MAR 0 5 2020
FILLED LAND AFFIDAVIT ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
3409-412-0001-000-6 ; 6002 CITRUS AVE FT. PIERCE FL 34982
(Parcel Idk/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 WILI, 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.
1�
•
2 - rdO - ao'2-0
Date
STATE OF FLORIDA, COUNTY OF ST. LUCIE
ACKNOWLEDGED BEFORE ME TTHIS(� 20 DAY OF -febaiag .20 �
By TAU rl rOfO WHO IS PERSONALLY KNOWN TO ME OR WHO 11 SS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
AS IDENTIFICATION.
71:)'lw &mez4csi6
TYPE OR PRINT NOTARY
Q39—'bL b95 COMMISSION NUMBER
µY PV DIANAAMEZQUITA
Commissigqg284325
Commission B 2-13-2022
`^ a` Bonded Through - Cynanotary
9�OFf��e Florida - Notary Public
SLCPDSD Revised 0411 I2011