HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(farce\ : 3y 19 - 590 - 6101O - 000/2 jbG SE Naran�e, )�Vrrli,k
(Parcel Id#/Legaldescription/Address) N Ct!! , IF1
for which I have applied to St. Lucie County for a Final Development Permit. In 3t4 S $3
accepting this Final Development Permit, BP NumberSLC-2005-011.9I 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.
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Property Owner Name (Please Print)
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Property Owner Signature Date
STATE OF FLORIDA, COUNTY OE 4— Jr l�il�
ACKNOWLEDGED BEFORE /M//E/TIES �2 DAY OF_��r�CN,k; V , 20Zz�,
BY r�il�°/` !'� (irt. a C r� WHO IS PERSONALLY KNOWN TOME ❑(0) OR WHO HAS
NX90111felBK
ARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
Notary Public State of Florida
Ann M Giosi
o• VT Commission GG 300319
(SEAL) ' ,, d Expires 02/11/2023