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,
92�► MA\ZLOCA Sf ?L. P-S.L. LU -103 ' r..Au,t LU(Ak
(Parcel Id#/Legal description/Address) £ b-I 1ki L S.
for which I have applied to St. Lucie County for a Final Development Permit.. In
accepting this Final Development Permit, BP Number `ZOOC6 - OZ t b, 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, ormaintain-in-any-form; —
adequate drainage off my property which will not adversely affect the immediate
community.
vic'Ahko S. LAOCA5 6 2
Pr erty Owner ame (PI ase Print)
,'C l z
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF-.
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 % -1Z),
BY �71 f1�V V(�LC� y� l4lJ,!AAf9rWHO IS PERSONALLY KNOWN TOME 0 OR WHO HAS
PRODUCED T 1 ` AS IDENTIFICATION.
SIGNAT E OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
-1AIA
TYPE OR PRINT NOTARY
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=ELINA(fl),%�hNof Florida
45129M. 2, 2022