HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DER
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-] 553
AUG 19 Z020
ST. Lucie County
f1Tw RTw Permitting
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
c'?Llo?-9-az-1-3-oo6/-4ee
(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)7 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.
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Property Owpe ame,?Iease Print)
Property J(/her Signature
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Date
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STATE OF FLORIDA, COUNTY OF �-�✓
ACKN EDGED BEFO7t&;HO
DAY OFBY 1J�� IS PERSONALLY KNOWN TO ME OR WHO HAS
A
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NATURE
NUMBER
AS IDENTIFICATION.
PRINT NOTARY
(SEAL) i,q;�.PUe
SHERRI FEHLMAN
commission #? GG 187160
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Expires March 14, 2022
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SLCPDSD Revised 08/24/2010