HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
deed (las Ss4&4 ¢s Lor iz
(Parcel Id#/I.egal descripdon/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, 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.
Vit M-40z5M nee
5-�. ao
Date
STATE OF FLORIDA, COUNTY OF 64- l ttt� u
ACKNOWLEDGED BEFORE ME THIS DAY OF 20
BY ff) ttl k) (� 11'� iV}[O IS PERSONALLY 10 OWN TO ME (a OR WHO HAS
PRODUCED
� AS IDENTIFICATION.
TYPE OR PRINT NOTARY
COMMISSION NUMBER*.:, -Expires
Josandra A. Ingraham
NY PUBLIC
S ATE JF FLORIDA
CanmA GG954178
3/9/2024
SLCPDSD Rmwd 04/11/2011