HomeMy WebLinkAboutFilled Land �_� PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Sot, - - 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,
"1y�TArt'6Sv nP CLUZ9 & i
(Parcel Yd#/Legal descriptioWAddress)
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.
Prope Owner Name Please Print)
Property Owner gignature Date
STATE OF FLORIDA,COUNTY OF m ' LG 14-1 Y�
ACKNOWJ
LEDGE D BEFOREf`�ME THIS DAY OF 20�,
/�--�
BY g CL Q`c e- WHO IS PERSONALLY KNOWN TO ME( X)OR WHO HAS
;RODUCE AS IDENTIFICATION.
X
URE OF NOTARY PUBL TYPE R PRINT NOTARY
COMMISSION NUMBER
(SEAL)
MYCOMMIS310N#
qf, EXPIRES ApNI®4,@@?1
SLCPDSD Revised 04/11/2011 �3,