HomeMy WebLinkAboutFilled Land Affidavit PLANNMG&DEVELOPMENT SERVICES DEPARTMENT
,COUNTY Building&Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PERM Fl,34982 5652
(772)462-1553. � KtMjVffff
FILLED LAND AFFII:DAVTT { Y . 2020
ST. Lucie County.,Permitting
1,the undersigned,am the owner of the following described property,
(Parcel IdWLegai description/Address)
for which,I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 2,00 5- y Ss A 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..
Property Owner Nance(Please Print
Properff Owner Signature Date
STATE OF FLORIDA,COUNTY OFy ��
ACKNOWLEDGED BEFORE ME THIS `�`� DAY OF
•T
BY---- WHO IS PERSONALLY KNOWNTO MEEJOR WHO HAS
^ \PRODUCED AS IDENTIFICATION.
SIGNATURE OF NO Y PUBLIC TYPE OR P
<VeZ6-6—a,.3 COMMISSIONNUMBERMEt�1S DEMMAR1EGN
�:�'� •: MY COMMISSION#GG 022023
EXPIRES:DM 2020
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SLCPDSD Revised 04/1 It201 I