HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINI A AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Address)
I16 90 4(A '\-,i' s o tW
) F(J ry I Pi IQ E-s
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number -b'7 , 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.
erty r ame (PI e Print)
erty4Ownnima Date
STATE OF FLORIDA, COUNTY OF `5 +
ACKNOWLEDGED BEFORE ME THIS DAY OF 4: / .20
BY c) �� h l 1 lJC^^ WHO IS PERSONALLY KNOWN TO ME ❑(� OR WHO HAS
PRODUCED W AS IDENTIFICATION.
4J' l "
SIGNATUR F WARY PUBLIC TYPE OR PRINT NOTARY
<�l 6 COMMISSION NUMBER
.taaYP�% ELL I AUGHN
;tea°^State of Florida -Notary Public
=� '= Commission # GG 270079
��' My Commission Expires
October 22, 2022
SLCPDSD Revised 04/11/2011