HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMrENY
Building & Code Regulations Division RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 JUL 0 $ 2020
(772) 462-1553
ST. Lucie County, Permitting
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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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 Number42007 —000 (o, 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—L-ucie-County-is-neithervbliged-nor-liable-to-provide-foror-maintain-in-any-form
adequate drainage off my property which will not adversely affect the immediate
community.
Proper1V
er Name (Please Print)
7 a�zo
Prop ty Owner Signature Date
STATE OF FLORIDA, COUNTY OF —C T LOC-(E
ACKNOWLEDGED BEFORE ME THIS _�� DAY OF 1tI ly .20�,
`
BY _ rj kQ 1 Y IPVID 'WHO IS PERSONALLY KNOWN TO NO (El OR WHO HAS
PRODUCED
COMMISSION NUMBER
TYPE OR PRINT NOTARY
(SEAL)
KAREN S: NIELSEN
a��Y evUSState'of Florida -Notary Public
Commission If GG 207,484
SLCPDSD Revised 04/112011 =��, ,?.' My Commission Expires
June 12, 2022
IDENTIFICATION.