HomeMy WebLinkAboutFilled Land Affidaviti
PLANNING & 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,
zloy - '.5-6 l - 06 2 ( 06c)— Co
(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 drainage off my property which will not adversely affect the immediate
community.
.'A.. �V�8 ear vc,.-, S &,.,
Property Owner Name (Please Print)
Property Owner lgnature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFO ME THIS T/ DAY OF 204—
BY WHO IS PERSONALLY WN TO ME ` a OR WHO HAS
PRODUCED
ARY PUBLIC
COMMISSION NUMBER
AS IDENTIFICATION.
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TYA OR PRINT NOTARY
(SEAL)
Notary.Public.st" of Florida
William S La
SLCPDSD Revised 04/11/2011 My Commission GO 2USM30
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