HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
sJIY�
FORT PIERCE, FL 34982-5652
(772) 462-1553
AUG 2 � ��2�
FILLED LAND AFFIDAVI ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
3507-332-0003-000-6 / 7273 S Indian River Dr Ft Pierce FI 34982
(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.
l ey
Property 04ner Name (Please t)
Pr rty O r Signature Date
STATE OF FLORIDA, COUNTY OF Sa Ir%\-
ACKNOWLEDGED BEFORE ME THIS 4 DAY OF 1 20 Z�
BY Ce"r IL vtq WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
TYPE OR PRINT NOTARY
COMMISSION NUMBER
AS IDENTIFICATION.
?. Y H� UFF
MY COMMISSION # GG 970027
EXPIRES. June 1, 2024
''•:�F F��.`� Bonded Thru Notary Public Underwdtere ,.N
SLCPDSD Revised 04/11/2011