HomeMy WebLinkAboutTillberg Filled Land Affidavit}
PLANNING & 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,
1313 LomE PINE OR..
(Parcel ld#/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.
m-��r'oly
Date
STATE OF FLORIDA, COUNTY OF St • L_"- C.
ACKNOWLEDGED BEFORE ME THIS iN DAY OF Or, 4",— 20 2-0
BY WHO IS PERSONALLY KNOWN TO ME (12 OR WHO HAS
PRODUCED 71�:dtlC L.1 cov.S-c_ AS IDENTIFICATION.
Aim-. 1ce-34--
SIGN OF NOTARY PTJBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011 .., ALEX:KRATT
:�Notary Public FloridaCommissio139or c�° My Comm. Exp, 2024Bonded through Natry Assn.