HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34992-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property; Lo7-3
392?
for which I have applied to St. Lucie County for a Fital Development Permit. In
accepting this Final Development Pennit, BP Number Mg�lj I acknowledge
bed property, and in accordance with Section
that as owner of the above descn
7.04.01(D) St. Lucie CountyLand 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.
Pro er w71 )
P us seCfi��.aA
Property Owner Sig"t" Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS !J _DAY OFOOFF��
BY ��"a20
,WHOIS PERSONALLY KN TO ME(_) OR WHO HAS
COMMISSION NUMBER
SLCPDSD Revised 04/1IQ011
(SEAL
Jean Paul EOe
Commission # GG064860
Expires: March 16, 2021
Bonded thru Aaron Notary