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HomeMy WebLinkAboutFilled land aff I _- PLANNING&DEVELOPMENT SERVICES DEPARTMENT J " Building & Code Regulations Division j 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, 1 3 D 1.• u t..s.01 24 q Q and S©bq ILD I&Cf\D. A Av�,,�— P)PYGf-') (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 , 1 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. "0 T—L 1--j--C> Proper O er Nai (P eas int) 1 O' Z©ZD Property Owner Si natur e Date A v-IrY1C9ll ��^ ') STATE OF FLORIDA,COUNTY OFR)6-arQ-CCJ ACKNOWLEDGED BEFORE ME THIS DAY OF oabla-� .20 BY lGbo rj P--C_.L I i_WHO IS PERSONALLY KNOWN TOME([:])OR WHO HAS PRODUCED J AS IDENTIFICATION. SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY O of q o, C) COMMISSION NUMBER (SEAL) j SLCPDSD Rcviscd 04/11/2011 C Doan aft of Floritl� • CommWom HH 029W0 0�:-- I oE10'SR02� I �