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,
3-,,?7-76-a- 0007 - 00a? W73
i
(Parcel Id#/Legal description/Address) G v / -0 6 a-V-' -1 -2-
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.
L L t7c"s
rop .rty Owner ame ase P
oyv
roperty Owne Si at (//� to
STATE OF FLORIDA, COUNTY OF�y�(�� (If�-II�DY
ACKNOWLEDGED BEFORE ME THIS DAY OF —20 -b .
BYC 1 ) 0 1 1 1 LEI �iS /Y WHO IS PERSONALLY KNOWN TO ME (lam) OR WHO HAS
— ILOF 0 C
�j �+S TUREOFNOTARY PUBLIC
r —7 fib- COMh1ISSION NUMBER
SLCPDSD Revised 041112011
IDENTIFICATION.
1- i I c It i le t `Zahs 1
TYPE OR PRINT NOTARY
(SEAL)
�01ARY4. KULBIR K. BANSIL
aQ �� NOTARY PUBLIC
!STATE OF FLORIDA
Comm# GG071200
cE W " Expires 2/8/2021