HomeMy WebLinkAboutFilled Lands AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGMIA AVENUE
FORT PIERCE, FL.34982-5652
772-462-1553
FILLED- LAND S- AFFIDAVIT- - - - --
I, the undersigned, am the owner of the following described property:
140 -I - 34q - CD yo - ODD -S
(Tax mugal 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.
Property Owner Name 6Eyr6r'1�'" WA eT S1glmore Date
STATE OF FLORIDA, COUNTY OF
BY
DAY OF / � V . 24—j7-?
SIGNATURE
NOTARY PUBIJC TITLE
00 Ap M HUFF
Notary Public - State of Florida
Commission it FF 234730
My Comm. Expires May 27, 2019
..._....n m,tinnal Notary Assn.
IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
TYPE OR 4E OF NOTARY
(SEAL)
.i COMMLSSION NUMBER