HomeMy WebLinkAboutFillled Land Affidavit I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
- Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 j
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property, 116
a►.ly ��� cal trS -�J►J1T 1 Gd.' o �� ' 6�`Ac-
(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(��,-DL 71, 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.
Vopertyr ame(PI e Print)Signa Date
STATE OF FLORIDA,COUNTY OF -5+
ACKNOWLEDGED BEFORE ME THIS �J DAY OF 20
BY c ) �� I I�^^ !�1 WHO IS PERSONALLY KNOWN TOME OR WHO HAS
PRODUCED �� W AS IDENTIFICATION.
SIGNATUR F WARY PUBLIC TYPE OR PRINT NOTARY
�y
(�� 6 COMMISSION
NUMBER
:iPRYPiie. ELL AUGHN
a° :State of Florida-Notary Public
*= Commission # GG 270079
My Commission Expires
October 22, 2022
SLCPDSD Revised 04/11/2011