HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 �—RECEIVED"
FILLED LAND AFFIbAVIP'v 7.020
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
(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.
- (-,' I axbm 'bc ( I
Property Ow%er Name (Please Print)
Property Owner Signature Date t
STATE OF FLORIDA, COUNTY OFQ rGti nq -C—
ACKNOWLEDGED BEFORE ME THIS /— DAY OF J nt 20 /O
BY
PRODUCED
WHO IS PERSONALLY KNOWN TO ME LE-1) OR WHO HAS
AS IDENTIFICATION.
--D1 a yx Ll h 3YU�rs1 CCC.
E OFF/NOTARY PUBLIC
TYPE OR PRINT NOTARY
-16 3b1606 COMMISSION NUMBER
ANE LINDSTM CHry Public Sttaf�e dtFloridammisslon
Ej�:.commlsslonN GG 301606
omm. Expires Feb 19, 2023rough
National Notary Assn.
SLCPDSD Revised 04/1 I/2011