HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
MAY 2,8 2020
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
1301-61
(Parcelld#/Legal
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Numbed f , 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.
IKz8 7-h Y or/oy5,� V
Property Owner Name (Please Print)
OWfier SignatureD.
STATE OF FLORIDA. COUNTY OF S+-.LUVI &
ACKNOWLEDGED BEFORE ME THIS 1 DAY OF 20
BY KQ+hy orIGUSI\I� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
NOT
NUMBER
SLCPDSD Revised 0411112011
AS IDENTIFICATION.
iY1D, q t4ach
TYPE OR PSINT NOTARY
(SEAL)
65 51910 U� fiDiidi
iuytsiio111 a+2erlau
Cowdssim ML GG 969224