HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGIINIA AVE=
FORT PIERCE, Fl, 34982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT O C T 1 7• `? , 9
ST. Lucie County, Pi�rmltting
I, the undersigned, am -the owner of the following described property,
(Parcel MftegaI descripHon/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
M4.01(D), St. Lucie County sand 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 foim,
adequate drainage off my property which will not adversely affect the immediate
community.
Q eJurne
Property Ot a (Please Print)
I
Property Owner Signature Date
SfATEOF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE METHISy DAY OF V 1 \ 20
By �L�9�V�'29�\ WHO IS PERSONALLY KNOWN TO&M OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY P LI <U
a 315'.'6 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
`TYPE ORPRINTNOTARY
(SEAL)
'hryM Pfi
KAREN O'ONOFRIO
My COMMISSION # GG 237558
t
'
EXPIRES:Au9ust5,2022
Sanded Thru Notary Public Underwriters
AS IDENTIFICATION.