HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
_ Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
I, the undersigned, am the owner of the following described property,
7�Sc 5~ � Lo,,,4 4. ra �•,� � 1C 3y9s`! rci=c e' i3C1r GG3 cJl
(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, 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.
,9-'r' //- , l�"Ce1,:
Property Owner Name (Please Print) /
Pr rty Owner Signature Date
STATE OF FLORIDA, COUNTY OF UCSL.
ACKNOWLEDGED BEFORE ME THIS_ DAY OF 0��
BY WHO IS PERSONALLY KNO ME cuI OR WHO HAS
VRODUCED AS IDENTIFICATION.
o tin
A O O ARY P i E Imo' �t1�JOa,yputlic StatC odfid
Commission # GG 224334
COMMISSION NUMBER F, My Comm. Expires Sep 27, 2x22
Bonded through National Notary Assn.
SLCPDSD Revised D4/11/2011