HomeMy WebLinkAboutFilled Land Affidavit P- R) l�
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVE
FILLED LAND AFFIDAVIT N O V 2 7 r g
ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property, I
05
(Par �Lega�desc�ip lr'0 lJf�----
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number L , 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 Owngr Name(Please Print)
jPror ®rLi -ature Date
STATE OF FLORIDA,COUNTY OF ✓l
ACKNOWLEDGED BEFORE ME THIS_ L��DAY OF 20�/ ,
BY Ij rJ 4EZZ 14 �WHO I PERSONALLY�`NN TO ME ❑)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY ryryyy,
COMMISSION NUMBER CAROLL.BWOUM
COW*.sion#GG 208268
(SEAL) �V o EVIM August 17.2022
of Flo Gaoled TMu Budpet Notary Sarvkee
SLCPDSD Revised 04/11/2011