HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 r.
(772) 462-1553 R�CMVV
AUG 19 2020
FILLED LAND AFFIDAVI
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
�.Qe� WK)KI �ZW'C-JL
(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.
Property Owner Name (Please Print)
dLk,k4-
Property Own ignature Date
STATE OF FLORIDA, COUNTY OF CS-N `e---
ACKNOWLEDGED BEFORE ME THIS �� DAY OF 75'e'011 20_0
BY rx, WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
:'pt�Y PGB•••
•�,.� STELLAM
90 Notary public - State MJNTER
Commission # GG 1Of Florida 62
MY Comm. Expires an 23 Bonded through National Nota 1023
rY Assn,