HomeMy WebLinkAboutFilled Land Affidavitt
ys•.:
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
2300 VIRGINIA AVENUE, ROOM 201
FORT PIERCE, FL 34982-5652
407-462-1553
FILLED LANDS AFFIDAVIT
°a" I, the undersigned, am the owner of the following described property,
3403-502-0164-•000/4: Sec. 5/T36S/R40E
(tax 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 50239 , 1 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.
P,4y l D
Property Owner
(Print)
STATE OF FLORIDA, COUNTY OF St. Lucie
Property Owner D e
(Signature)
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS 2 7 th DAY OF February , 19 95
WHO IS PERSONAI I Y KNOWN To ME OR WHO HAS PRODUCED
ED-9j-) Elizabeth M. Roth
OIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
AS IDENTIFICATION.
SLCCDV FORM NO.: 011.00