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,
a 10 - ® t UP - 000 - o D ° )01 and cte�c e
(Parcel Id#/Legal description/Address) 3a�
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.
J /iL ray/
Name (P�ase P'rint)
Property er Signature Date/
STATE OF FLORIDA, COUNTY OF I
ACKNOWLEDGED BEFORE ME THIS DAY OF ZpRC
BY 6;ay �j
!94 e5 /xemef et WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
)TARY PUBLIC TYPE OR PRINT NOTARY Jj
COMMISSION NUMBER
s,, A? S trDP� 3'„11 MAGGART
* .a wOtilir.i�sriCn # eiH 0l48693
r:xpires JunO 10, �24
S AeAdA1�uiFltlurnnC0800.385�7419
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Ezpites June 10, 2024
80xted Thru Tsai F44a irsurame 809-385d019