HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
$uildmg & Code Regulations Division
2300 VIRGRUA AVENUE
FORT PEPJM FL 34992-5652
(772)462-1553.,
FII.LED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel Idq/I.egal description/Address) 3 /
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Numbcrat2 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 shill be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I finther 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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PrT=tjpncr Name (Please Print)
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Prcpertyowner Signataae 'Date
STATE OF FLORmA, COUNTY
ACKNOWLEDGED BEFOREMETHLS %2 DAY S_-S-
BY WHO IS PERSONALLY KNOWNTO ME (El OR WHO HAS
AS IDENTTIFICATION.
cinueTrmR nR 11111Y W1fli.IC TYPE ORPRINT NOTARY
SLCPDSD Revised 04/112011
ELVIS R ROCK
Notary Public, -Stale of Florida
Commission # FF 996639
My Comm. Expires Sep 21, 2020
Bonded through National Notary assn