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,
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.
mho W
Dat
ATE OF FLORIDA, COUNTY OF S T • Luc ( f
161
ACKNOWLEDGED BEFORE ME THIS DAY OF�TO
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By �� {� \ A) L�-i 4 �/- WHO IS PERSONALLR WHO HAS
PRODUCED
AS IDENTIFICATION.
SISIM URE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
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-73b COMMISSION NUMBER Stephanie Moure
�, NOTARY PUBLIC
�� ESTATE OF FLORIDA
Comm# FF957381
s,WCE Ir Expires 2/4/2020
SLCPDSD Revised 04/11/2011