HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-I553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1311-100-0130-000-1 812Q 0mcafFi Cir
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for i 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.
0!:'Onrn PdamS
Property Owner Name (Please Print)
;!� 11, �D 120
Property Ignature Date
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STATE OF FLORIDA, COUNTY OF ST - LVO�C
ACKNOWLEDGED BEFORE ME THIS 030 DAYOF �f arivourU 20'20 _
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BY ejaM 7 WHO IS PERSONALLY KNOWN TO ME C)—O OR WHO HAS
PRODUCED
PUBL ewe
SrIGNATURE FNOTARY-PUBLI
RC Dg yS al COMMISSION NUMBER
SLCPDSD Revised 04/112011
IDENTIFICATION.
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