HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division 1—.___ ___
2300 VIRGINIA AVENUE
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FORT PIERCE, FL 34982-5652
(772)462-1553 -- A 2 1 2020
FILLED LAND AFFIDAVIT I ST. Lucie County, Permittin
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I, the undersigned, am the owner of the following described property,
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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.
-!5�uy W'y �
�n0P Name (Please Print)
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ro era Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME TEES DAY OF �lQ/^ 6�- 20 �I
BY V ihn q L .a Tc«-'� y2.I S PERSONALLY KNOWN TO OR WHO HAS
PRODUCED AS IDENTIFICATION.
SI OTARY PUBLIC TYPE OR PRINT NOTARY
CHRISTINE NIATW
Notary Public - Stale Of N
Commission M GG 0070
My Comm. Expires Oct 12,
SLCPDSD Reviud 04/112011