HomeMy WebLinkAboutFilled LandPLANNING & 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,
2310-502-KDo 5(,, - '54 P%0-a'.e- _ l
(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.
Lisa M Field
Property weer Name (Please Print)
QN 3 2-0
Property er Signature Date
STATE OF FLORIDA, COUNTY OF
St Lucie
ACKNOWLEDGED BEFORE ME THIS _ l DAY OF 20 ZZ
BY Lisa M Field WHO IS PERSONALLYe�OWN TO ME 101 OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
TYPE OR PRINT NOTARY
(SEAL)
AS IDENTIFICATION.
2ocrSy pu" RHONDASROWE
SLCPDSD Revised 04/11/2011 * Commission # GG 104656
Expires May 19, 2021
N9rsoFp�o�`o� Bonded Thru Budget Notary Services