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,
9008 SHORT CHIP CIRCLE
(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 Owner Name (Please Print)
:::;u
roperty Owner Signature Date
STATE OF FLORIDA, COUNTY OF ST LUCIE
ACKNOWLEDGED BEFORE ME THIS DAY OF �r 2001`
BY
Mrn�
X1(-1 CA['T-�WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
DRIVER LICENSE
SIGNATURE -VF -if IjkRY PUBLIC
�A172-14 1 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
Lucm 6-1/bub
TYPE OR PFdNT NOTARY
(SEAL)
LUCY BAROCIO
®•`: Notary Public - Sate of Florida
p" Commission # GG 977274
'or:w'' My Comm. Expires Dec 4, 2023
Bonded through Nadcra; hctary Assn.
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NOTICE TO CONTRACTORS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code
Regulation Division
St. Lucie County Building Department will require the following items
with submittal for all Building Permit Applications and Vegetation Removal Permit Applications.
Residential Construction:
2 sets of construction plans, signed & sealed by Registered FL Engineer/Architect
2 surveys, signed & sealed by a Registered FL Surveyor
Vegetation Removal Permit application with one (1) sealed survey, vegetation removal
plan, & a landscape plan (if applicable per SLC Land
Development Code Sections 7.09.03 and 7.09.041).
Commercial construction:
3 surveys signed & sealed by a Registered FL Surveyor
3 copies of the Approved Site plan* if applicable
3 sets of construction plans signed & sealed by a Registered FL Architect/Engineer
Electronic copy of construction plans
Landscape plan signed & sealed by Registered FL Landscape Architect
Vegetation Removal Permit application with one (1) survey, approved site plan*, vegetation
removal plan, and a landscape plan signed & sealed by a Registered FL Landscape
Architect.
If the proposed construction entails a drive-thru or if the proposed building will exceed 6,000
square feet, it will be necessary to obtain site plan approval prior to submitting a building permit
application. Please contact the Planning Development Services Department at (772) 462-2822 for
further information.
For additional information please contact the Permitting Department at (772) 462-1553.
www.stlucieco.org
2300 Virginia Avenue o Fort Pierce, FL. 34982-5652
PERMITTING AND ZONING: Phone (772) 462-1553 FAX (772) 462-1578