HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am thg owner pf the �pllow I`g described prope ty,
M an�ie Cgcru L.Lx.LxC Z— 4 L4
Z,76 S P 13 3 y -5a Z -o o/ i -rw d -p
(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 irainage off my property which will not adversely affect the immediate
Property Owner Signature Dal
STATE OF FLORIDA, COUNTY OF �T .I-AI Ue-
ACKNOWLEDGED BEFORE M • TH"I�S DAY OF-2� •I a .20 ZO
BY URI/ 4 4C %;VP/ WHO IS PERTNA11YKNOWN TO ME OR WHO HAS
ROD 1 \\ AS IDENTIFICATION.
��J�llt.t .UiMw
SI 'UREOF PUBLIC TYPEORPRINTNOTA Y U�r�� Rebecca Dima
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�'• MMISSION NUMBER _ Commission # GG060876
'*= Expires: January 9, 2021
(seAL).,..• .: Bonded thru Aaron Notary
SLCPDSD Revised 08/24/2010