HomeMy WebLinkAboutFilled Land AffidavitPLANNING & 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,
.)I0/_- (002 -olio -C)00
(Parcel Id#/Legal description/Address)
52 j5- b,c-�Ac�.Ko"
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number a n 10 - , 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.
. TAMg-1.S /L4 - ! �,4
Property Owner Name (Please Print)
ProV Owner Signature Date,
0 co
STATE OF FLORIDA, COUNTY
ACKNO EDGED BEFORE ME THIS JDAY OF. Le9) 20_ __!ZD
BY -��� Cr 5 <::I� ' / WHO ISikitSONALLLY-KNOWN TOME (El OR WHO HAS
PRODTICF,D - L� /L v '`L `�� AS ID ENT ON
SIGNATURE OF NOTARY PUBLIC
�&MISSIONNUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
(SEAL)
No" Public State of Florida
L— Leo -W Rema nni Romero
My Commission GG 9088ts
or wP' Expires 08/22/2023
PLANNING & DEVELOPMENT SERVICES'DEFARTIVIENT
BUILDING & CODE REGUIONS:DIV LATISION
Survey
The Board of County Commissioner approved a code change that will require a copy of a current sealed
survey when applying for a building permit for a primary structure or a building permit for an accessory
structure with a value exceeding $10,000. This became effective July 1,.1993.
The guidelines are as follows:
No Building Permit shall be issued for development unless a copy of a survey of the property on which
the required activity is to be permitted accompanies the application for building permit. All surveys shall
demonstrate compliance with the Filled Lands Affidavit signed by the Property Owners (refer to St. Lucie
County Land Development Code, Section 7.04.01.D.3.) and completely depict the following:
1. The location of the proposed development activity.
2. The relationship of the.activity under application to all adjacent property lines, and as may be
required for the review of the application, all adjacent structures, improvements or natural
features, including but not limited to the nearest building corners of all adjacent primary and
accessory structures, pools and screened enclosures, fences, sheds, utility easements, wells, septic
systems, driveways, culverts and any landscaping or existing vegetation located along the
property lines.
3. A minimum of two (2) elevations along each roadway on which the proposed activity borders, the
existing ground elevation at the approximate center of the proposed structure, the existing ground
elevation along the side property lines adjacent to the proposed structure, and the proposed