HomeMy WebLinkAboutFilled Land AffdavitPLANNING & 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,
3402-603-0189-000-2 / 500 E EASY ST FT PIERCE FL 34982
(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 off my property which will not adversely affect the immediate
community.
Property Owne
r Name Please Print)
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STATE OF FLORIDA, COUNTY OF
(Or � .zd2v
Date
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 �� ,
BY (1 , �! (�601S PERSONALLY KNOWN TO ME (❑.) OR WHO HAS
PRODUCED �`(1(�f� c1J`� ``} e����/ AS IDENTIFICATION.
SIGNATUREt�fO�F,.NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
Monika K. Mielcarek (SEAL)
Notary Public
� State of Florida
MY Commission Expires 12/18/2020
SLCPDSD Revised 04/11/2011 Commission No. GG 2.48477