HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIAAVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1553
LST.Lucie
EP 2 ...�
FILLED LAND AFFIDAVIT
County, Permitting
I, the undersigned, am the owner of the following described property,
IN
(Parcel Id#/Legal descriptiont
zot;.36- yo-
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.
r'j�t] > I l 11ow-S
Property Ow4tr Name (P ase Print)
Propdhy Owner ature
STATE OF FLORIDA, COUNTY OF - S�- G U'01' e
Date
ACKNOWLEDGED BEFORE ME THIS 'o DAY OF �" 20 ZQ
BY 1�gin^ l/I I % 4 r-NS WHO IS PERSONALLY KNOWN TO ME LD OR WHO HAS
PRODUCED
(!�t SIeG�NAeT� t1F NOTARY PUBLIC
lec qG zS COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
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TYPE OR 1si�T NOTARY
(SEAL)
REe
01 F10ti' e1A9565