HomeMy WebLinkAboutFilled LandsPLANNING & 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,
01�--
2310-502:,riii1�k000 Palm Breezes Drive
(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 fiuther 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.
Lisa M Field
Property Wvner Name (Please Print)
Property jwner Signature Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME T}IIS —3 . DAY OF -'20 710
BY Lisa M Field WHO IS PERSONALLY�?'OXVN'I'O ME CE -11 OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
O,�PRY Pu�li
a r
VF,T
9 OF FV13
RHONDASROWE
Commission # GG 104656
Expires May 19, 2021
Bonded Thru Budget Notary Services