HomeMy WebLinkAboutFilled Land Affidavitr
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE ERECEI
i>FORT PIERCE, FL 34982-5'652(772) 462-15531 2020FILLED LAND AFFIDAVIT y, Permir: . �Q
I, the undersigned, am the owner of the following described property,
3WO -& 04-f- 0101V51'- 660-1 5D &W-Sef Blvd
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for I 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
� Girl? S
Property Owner LrnBe(PylaseoPr_fint)
i
\ /4 1
Property OlwntTSignature Date
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STATE OF FLORIDA, COUNTY OF V ss 4i/
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ACKNOWLEDGED BEFORE ME THIS / DAY OF QCem /01 2
WHO IS PERSONALLY ' NOWN TO ME OR WHO HAS
PRODUCED-,
AS IDENTIFICATION.
a �i ft On f-f`i^
S16W;0OF NOTARY PUBLIC TYPE OR PRINT NOTARY
G,2 COMMISSION NUMBER
PATRICIA ANN GRIFFIN
o:
"- MY COMMISSION # GG137624
SRevised
EXPIRES September 26, 2021
LCPDSD R evised 04/I1/2011