HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
` Building & Code Regulations Division
2300 VIRGINIAAVENUE
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, 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.
P.[operty 0*66r?Nadid (Pease Prmt <w.-.i"'�
Qh4AA-<
ro(aeKi-y3C)wner_SITatlu
STATE OF FLORIDA, COUNTY OF �Al�
Date
o
ACKNO`_WLEDGED- BEFORE ME THIS �a _DAY OF t�R.>i:� .20n
By l7 nn�Cy�tr��. V..J 4Q� WHO IS PERSONALLY KNOWN TO ME L ) OR WHO HAS
PRODUCED ��- Ul i— AS IDENTIFICATION.
SWATURE OF NOTARY PUBLIC- TYPE OR PRINT NOTARY
—COMMISSION NUMBER
(SEAT.)
LASHAHNAINGRAM
S. Notary Public - State of Florida
SLCPDSD Revised 04/11/2011 =• , ; My Comm. Expires Dec 20, 2016
Commission # FF 177249
Bonded through National Notary Assn.