HomeMy WebLinkAboutFilled Land Affidavit PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-I553
FILLED LAND AFFIDAVIT RECEIVED
MAY 2 �,2920
ST. Lucie County,Permitting
I, the undersigned, am the owner of the following described propel: y,
(Parcel,Id#/Legal description/Address)
for which I have applied to St. Lucie County fora kinal Developmmjent Permit. . In
accepting this Final Development Permit, BP Number.*�d5_''Z y`(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.
Property Owner e
Pr rty O er Signature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF _44\
BY A D'C a\2. WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED L— AS IDENTIFICATION.
SIGNATURE OF N rARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
DEANNAt"IVENS
z*t MY COMMISSION#GG 022023
EXPIRES:December 16,2020 j
Bonded Thru Noffiry Public Undenwriiens
IN.
SLCPDSD Revised 04/11/2011