HomeMy WebLinkAboutFilled Land Affidavit---- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIAAVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
/ 3 z a3 I ,. /.
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.
A"rA/apy
Property Owne ame (Please Print)
Properly Signature a e
r STATE OF FLORIDA, COUNTY OF WU.fC._Il �yy�
ACKN(�O�WLLEED�GEED, BEFORE ME THIS DAY OF 2U
BY Lh(U�)f1l'I7�i' "�l�\S WHO IS PERSONALLY KNOWN TO ME C OR WHO HAS
\TION.
COMMISSION NUMBER
(SEAL)
'�+"'!P'%`'• LASHAIiNA INGRAM-RAHMING
.• MY COMMISSION # GG 275060
'< EXPIRES: December 20, 2022
SLCPDSD Revised 04/11/2011 _�FP�';'.•P' Bonded Tbru lVofnry public Umlerxriters