HomeMy WebLinkAboutFilled Land Affidavit II
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal,0scription/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,
j 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.
Al .le—
Property Owner Narn6please Print)
7 3 "•2�Z i
Property Owner SignatuW Date
STATE OF FLORIDA,COUNTY OF��c .
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 _,
BY ►rtl�Q�••� YV Qo . _ WHO IS PERSONAL Y KNOWN TO ME(0)OR WHO HAS
PRODUCED v AS IDENTIFICATION.
SIG ATURE OF NOTARY LIC TYPE OR PRINT NOTAW
I
COMMISSION NUMBER -
E USHlygyti fdl.Ht�i1NG
9 MR 6110H 4'0ta 275060
€? IRF-S;J*@Mber20,2022
ti;__•_.,,. Qggdqd Rfu Notary P011c Underwriters
SLCPDSD Reviscd 04/11/2011