HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE FL34982-5652
(772)462-I553 1' RFCFIVFD
FILLED LAND AFFIDAVIT
J N 2 1 2020
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
(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, jand 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 prgvide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
LI/ 04y) &'n Adams
Property Owner Name ( lease Print)
—P4perty Ignatur,
I
�i! 1s 6
D e
STATE OF FLORIDA, COUNTY OF 7 UC( le
ACKNOWLEDGED BEFORE ME THIS IS DAY OF
BY&wlII..).. I
"arv► 8-U00 i�'d9iliS WHO IS PERSONALLY KNOWN TOME (±!�10R WHO HAS
PRODUCED AS IDENTIFICATION.
SURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY ✓/
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(/t�d� COMMISSION NUMBER
PATRICIA ANIN GRIFFIN
�• ae:
MY COMMISSION # GG137624
- ova,,• EXPIRES September 28, 2021
SLCPDSD Revised 04/11/201 I