HomeMy WebLinkAboutFilled Land Affidavit i
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- -- PLANNING&DEVELUPMF..NT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VRGUgA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553.
FMLED LAND AFFIDAVIT
I,the undersigned,am the owner of the following described property,
2313—c7,3-nm —tm—Z &err; p 9f4 P{rj-P rL3Y?c17
(Parcel Id# Agal description/Address)
for 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 move described property, and in accordance with Section
7.04-01(D),St.Lucie County Land Development Cade,I shall be responsible fior 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..
W-be ► (ydejty s
Property Owner Name(Please Print)
Property.Owner Signature Date
STATE OF FLORIDA,COUNTY OF � ��rGLGI
ACKNOWLEDGED BEFORE ME THIS_�yw AY OF .20 C*1
BY Y*Z.� �� L�1U�WHOO is PERSO Y KNOWNTO ME(®}OR WHO HAS
PRODUCED" IlY l ) J r. AS IDENTIFICATION.
of- Se
SIGMA OF PLOT P LICTYPfi P NOTARY
COMMISSION NUMBER
(SEAL)
FFa
AUDREY B.HUMPHREY
SLCPDSD Revised 04/1101011 MY COMMISSION#GG 300817
EXPIRES:March 8,2023
Bonded Thru Notary Public Undeiwritors