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
I, the undersigned, am the owner of the following described property,
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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 which will not adversely affect the immediate
community.
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Prope Owner me (Please Print)
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roperty Ow" ner .3 aturee.,., Date
STATE OF FLORIDA, COUNTY OF b C.
ACK�/OWLLEED�GED BEFOREI�n,/M/E'nTHrIS DAY OF ✓VN �l� � 1206
BY RI.L�C.( I �lom— 11 WHO IS PERSONALLY KNOWN TO ME (V I OR WHO HAS
1 AS IDENTIFICATION.
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TYPE OFQJINT NOTARY
CJU I V (V 7U ICOMMISSION NUMBER
Notary Pudic State of Fbdda
My linCO J. May
Ex Commission 23 906007
W a Expires 10/03I2023
SLCPDSD Revmd 04/112011