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,
3322-601-0011-000-3 / 7300 RESERVE CREEK DRIVE
(Parcel Id#/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 qff my property which will not adversely affect the immediate
9 i1, 11-1 `.r . -
Owner Na a (Please l
Owner Signature
STATE OF FLORIDA, COUNTY OF 51 . L VL C4
to 17
Date /
ACKNOWLEDGED BEFORE METHIS—) 44 DAY OF OCA-O(}'�( 20 D,
BY _�� (/► l' u �' �� UQ QX WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED 1JK1 V hK-LL1k-hN Jr,
V
SIGNATURE OF NOTARY PUBLI
GU a �'m 3 COMMISSION NUMBER
AS IDENTIFICATION.
WO,401- Uj" Z b
TYPE OR PRINT NOTARY
(SEAL)
=Publicblic State of FloridaSLCPDSD Revised 04/1I/2011 izzo
ission GG 262653/13/2022