HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 F
FILLED LAND AFFIDAVIT I JUL 18 2020
ST' Luci�ermitting
I, the undersigned, am the owner of the following described property,
I7,505 `yrjceinla Av'c /v!l y.crcv drePa sLM5
(Parcel Id#/Legal
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-C-ounty-is-neither-obliged-norliable-to-provide-fo —or-maintain-in-any-form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Owner Name (Please Print)
Property Owner Signature
STATE OF FLORIDA, COUNTY OF Sir . u� c \e
Daze
ACKNOWLEDGED BEFORE ME THIS J DAY OF
BY Y'+�a,�(�4..+� U�4 k11��e WHO IS PERSONALLY KNOWN TO ME(Li OR WHO HAS
PRODUCED E'"<' 'I� L AS IDENTIFICATION.
1
SIGNATURE OF N ARY PUBLIC
t�? NI COMMISSION NUMBER
JUL 1 SsRN2
ST. Lucie County, Permitting
SLCPDSD Revised 04/11/2011