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
1, the undersigned, am the owner of the following described property,
2333-133-0001-000/5
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1912-0206 , 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.
Rebecca Percy
Propert Owner Name (Please Print)
Property Ownre
STATE OF FLORIDA, COUNTY OF J I •
12/13/19
Date
ACKNOWLEDGED BEFORE ME THIS /3�7) DAY OF � ^2*—a 20 1 /
.L BY ,r� C .ram WHO IS PERSONALLY KNOWN TO ME Q5-011 WHO HAS
PRODUCED %I �G�^ AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
6Fj co gpola COMMISSION NUMBER
(SEAL)
DE30RAH S. VEGA
SLCPDSD Revised 04/11/2011 EQma--�;
MYCOMMIS310N#GG009206
EXPIRES: October4,2020
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