HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIAAVENU�
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel
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, land 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 fob 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.
j J)1 ,261 Bnm M�
Property Owner Name [Please Print)
it 141
Property ignature D t�
STATE OF FLORIDA, COUNTY OF e3alaiau=
ACKNOWLEDGED BEFORE ME THIS�
,—DAYOF N� 6V2M6.20 &
BY�) i Nam �j0Aj A-&m g WHO IS PERSONALLY KNOWN TO ME( OR WHO HAS
PRODUCED
C=�
SIGNATURE OF NOTARY PUBLIC
(11 Ga COMMISSION NUMBER
SLCPDSD Revised 04/l I/'2011
'AS IDENTIFICATION.
(SEAL)
•:^•:�✓e••, PATRICIA ANN GRIFFIN
=�; MY COMMISSION # GG137fi24
��'%egtio� EXPIRES September 26, 2021