HomeMy WebLinkAboutFILLEDLANDPLANNING & 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 description/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,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property whichh will not adversely affect the immediate
community.
Property O er ame (Please int)
'� r `° (ak��
Property er S1 atcre Date
STATU OF FLOPMA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS � DAY OF ����1 �i �� 20 ZO,
BY GQYY ,� V� HO IS PERSONALLY KNOWN TO ME (_I_) OR WHO HAS
PRODUCED]
SI/G_NATURE OF ...{{{OTARY LIC
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COMMISSION NUMBER
Paula S. Breier
TYPE OR PRINT NOTARY
AS IDENTIFICATION,
Br
�" C01nmiP�liaa4. BG036843
Expires: September 15, 2020
�y��PR,��`, Bonded thru Aaron Notary
SLCPDSD Revised 04111/2011