HomeMy WebLinkAboutFilled Land Affidavit . PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
• FORT PIERCE,FL 34982-5652
(772)462-1553
R E C E I V r--'D FEB 0 9 2011 FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
581-1 Sparks 6 R«,-r R d
(Parcel IM/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 ilia (—O Z I acknowledge
that as owner of the above described property, and in acco•dance 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 Owner Name(Please Print)
X � Q,,,.� R,5� z 2-o
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF '1' • Lu\/l-
ACKNOWLEDGED BEFORE ME THIS ' DAY OF ` �� ,20 `
BY L,�},�n a 't') �1 �wHO IS PERSONALLY KNOWN TO ME U OR WHO HAS
P DUCED AS IDENTIFICATION.
bZ'
SIGNAT OF NOTARY PLIC TYPE OR PRINT ROTARY
COMMI ION N ER a e d —
•������ ANNMARIE CONIGLIO
(SEAL) ;roe ���; Notary Public•State of Florida
•; :• Commission#E GG 49655
My comm.Expires Noy 21,2020
°,, Bonded through National Notary Assn.
SLCPDSD Revised 04/11/2011