HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
l o Building &Code Regulations Division
2300 VIRGINIA'AVENtIE
-FORT PIERCE, FL 34982-5652'
. (772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT "Up 10 1019
Permitting Department
St. Lucie County
I, the undersigned, am the owner of the following described property,
4224-501-0065-000-1
(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 1, Q/'L1 acknowledge
that as owner of the above described. property,, and in accordan a with Section
7.04.01(D), St. Lucie County Land Development Code,.l shall be responsible for assuring
adequate drainage so that the immediate community WILL NO 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.
StaceyDyer
Property Owner Name (Please. Print)
nef &01
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF �iClt"i'lY"�
ACKNOWLEDGED BEFORE ME THIS DAY OF
V
BY CQ. i� __WHO ISnPERRSSONALLY KNOWN TO MB rL� ..{) OR WHO HAS
PRODUCED n 1,.�,L/QV5 l (la_.V LO'c (A_S IDENTIFICATION.
SIONATVkEOF NOTARY PUBLIC TYPE CFR PRINT NOTARY
COMMISSION NUMB ER
f1I�NNo-r (SEAL)
Notary Public
Slate eT FWda
*0a nmlwion Erpheo 0W20M
601MIISDiam No. GO 225909
SLCPDSD Revviud edJI1J2011