HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLETS LAND AFFIDAVIT
o` a
I, the undersigned, am the owner of the following described property,
23iv - jV a2 - o0,).7 -- 4
(Parcel Idnegal
for which I have applied to St. Lucie County for a Fulal 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.
M
t/aAZ )
Date
STATE OF FLORIDA, COUNTY OF �r. l...tJ Gl e—
ACKNOWLEDGED BEFORE ME THIS aV DAY OF +�-'�--(� ,20 / l
By /—/.5 A M h c? / C/ WHO IS PERSONALLY KNOWN 70 ME (a OR WHO HAS
TYPE OR PRINT NOTARY
COMMISSION NUMBER
HEAL)
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a9 ••"" ' COMMIS$10n N GG 104055
SLCPDSD Revised 04/112011 m v Expires May 10,2021
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AS IDENTIFICATION,