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HomeMy WebLinkAboutFilled Land Affidavit /1 PLANNING& DEVELOPMENT SERVICES DEPARTMENT Building&Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 RECEIVPD FILLED LAND AFFIDAVITI JUL Q 6 2U 20 .S Lucie County, Permitting I,the undersigned, am the owner of the following described property, Z 5-- O-Z- D 15's-- nor-0Z �,2 "► �1 �,�/o©d �� c 1 (Parcel Id#/Legal 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 above described property, and in accordance with Section 7:04.01(1)), 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—L-ucie-C-ounty-is-neither-obliged-nor-liable-to-provide-foror-maintain-in-any-form;-- -- adequate drainage off my property which will not adversely affect the immediate community. CA I,, Property Owner Name(Please Print) / Property Owner Signature Date STATE OF FLORIDA,COUNTY OF ACKNOWLEDGED BEFORE ME THIS 2� DAY OF ��,d��. ,20 BY WHO IS PERSONALLY KNOWN TOME L0 OR WHO HAS PRODUCED '3$-no-eC� L C C�t(l�C? AS IDENrTIFICATION. �'�' � �c�►;�'�- �-e1,�e,2- ►mod i�I� tvIGNAT��22U/R��EpOF NOTARY P LIC TYPE OR PRINT NOTARY (+z1 �1:563 "YCOMMISSION,NUM13ER (SEAL) SLCPDSD Revised 04/11/201.I Sm. Jahira Sanchez-Medina NOTARY PUBLIC sSTATE OF FLORIDA -, =Comm#GG363708 -4rCE�9� Expires 8/7/2023