HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGI1,11A AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number&02 , 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 WELL 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.
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Property OwnerName /m�e (Please Print)
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STATE OF FLORIDA, COUNTY OF �0 4 O W 4 �L al
� ACKNOWLEDGED BEFORE ME THIS 13 DAY OF ^I 1"F IV Lf— rq-k y • 20 1 7
BY � r � 4le I 4 6 / AZ A[O,O S WHO IS PERSONALLY KNOWN TOME � OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIO TYPE OR PRINT NOTARY '
COMMISSION NUMBER BRENDA J;{1YEHS
(SEAL) `. �.`s'. Notary Puhllc -State of Florida
'�• Commission W FF 921372
'� My Comm. Expires Ocl 9. 2019
'�nnded lhrorp w+"al Nntaiv °�5n.
SLCPDSD Revised 04/11/2011