HomeMy WebLinkAboutFILLEDLANDPLANNING & 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,
(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
STATE OF FLORIDA, COUNTY OF ✓ + uxc'Nt
a o ao�
Date
ACKNOWLEDGED
/BEFOREMETHIS 10 DAY OF .20�,
BY1 1Q.V 1 `V l /1 `U1VYI(� A C� WHO IS PERSONALLY KNOWN TO ME ((J) OR WHO HAS
PRODUCED
SIGNATURE F1 ARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/112011
?J� WObfy'.'M Stab of Fbrids
Sabrina M Arrirplon
q My Comnxagn GG 908779
qv�� EXPM 0N2712023
IDENTIFICATION.
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