HomeMy WebLinkAboutFilled land affidavit - :�e _ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
1061H2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
4502-501-0198-000/5
(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(D), 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. 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.
Richard iazzi
Property er Na e I Print)
—7— t e2 c7
Property Owner Signature Date
STATE OF A�6Ri ,,COUNTY OF 81,/-Ager
ACKNOWLEDGED BEFORE ME THIS l DAY OF 74L. / 2020
BY `t al-rd, /1�/Q. z z % WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED RA r P v r s /,-'LP a A/ AS IDENTIFICATION.
511 CAA=4 � i}l�`c'� T, CA - "s�Y
SIGNATURE OF NO ARY PUBLIC V TYPE OR PRINT NOTARY
/0,,46,07 0- COMMISSION NUMBER
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