HomeMy WebLinkAboutFilled land affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34992-5652
(772)462-1553
YELLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
-?�)-40 a - Cato - 0� _ 5 -C)E�D
(Parcel ld#/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 Cade, 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.
P Owner Name (P ease
7
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFO ME THIS �" t DAY of 20c�)10 ,
BY jbt n i1 I S WHO IS PERSONALLY KNOWN TO ME { x ) OR WHO HAS
PRODUCED
Paula S. Breier
AS IDENTIFICATION.
SIGNATURE OF NOTARYPUBLIC TYPE OR PRINT NOTARY
CQ f COMMISSION NUMBER
14� {SEJNia S. Breier
COmmisswn I GG03Ei8g3
Expires: September 15, 2020
%` ; ;;�.��•' Bonded thru Aaron Notary
SLCPDSD Revised 04/11/2011