HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
ENUE
FORT PIERCE, FL 34982 5652
(772) 462.1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
far 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.
Property Owner Name (Please P46
fit.-Y-,� Pam,.. 3 • i 1.2.0
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED B RE ME THIS •�y DAY OF N W W.J .20_�
BY �...� / WHO 1S PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED !r i., y� AS IDENTIFICATION.
TYPE OR PRINT NOTARY
COMMISSION NUMBER
KAREN S. NIE
a
State of Florida -Notary Public
Commission # GG 207484
c7b'`= My Commission Expires
SLCPDSD Revised 04/112011 ���•�"`� June 12, 2022