HomeMy WebLinkAboutFilled Land Affidavit (2) - ---- - 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,
(Parcel Id#/Lega(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.
Property OwnerNare(Plea a Print)
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Property Owner Signature Date
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STATE OF FLORIDA,COUNTY OF
ACKWWLEDGED BEFORE ME THIS DAY OF 20 r ,
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BY WHO IS PERSONALLY KNOWN TO ME C OR WHO HAS
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PRODUCED AS IDENTIFICATION.
SIGNATURE OF 90TAPI PUBLIC TYPE OR PRINT NOTARY
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COMMISSION NUMBER
,yP�rye= (SE e�ANCES DONZA
k: MY 69MISSION#FF 014070
EXPIRES:July 27,2017
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v' Banded Thru Notary Public Underwriters
SLCPDSD Revised 04/1 112 0 1 1
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