HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1.553
DEC. ® 2 1010
FILLED LAND AFFIDAVIT Permitting Department
St. Lucie county
Coun
I, the undersigned, am the owner of the following described property,
ie,;oj-U()s-073--�q—o'Ito
(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 D-t>V — 0L, 1 9" , 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)
14�,
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF 5+. 1.1 X C I L.
T
ACKNOWLEDGEDfBEEF�OREME THIS �_ DAY OF 20 � 0
Qt) i F'�X, M(II j IS PERSONALLY KNOWN TO ME C2<_) OR WHO HAS
PRODUCED
S NATURE OF/�OTARY UBLIC TYPE OR PRINT NOTARY
C 36 TCMMISSION NUMBER
Notary Public Buts o&t FIon"E
Judith A Newell .
My Commission GG 930469
Expires 11/2312023
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.