HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 FORT PIERCE,FL 34 82 5652 RECEIVED
(772)462-1553
FEB 2 4 2017
FILLED LAND AFFIDAVIT PERjAj77j[gG
St. Lucie County, FL
I,the undersigned, am the owner of the following described property,
3yoa �� ao_ a �a1- aoo -`1
(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 ' "'o1-das 1 , 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 a e e t
7
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS t DAY OF 201
BY 1 ( Q WHO IS PERSONALLY KNOWN TO�Fa1?C�::)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNA NOTA I%P L TYPE OR PRINT NOTARY
COMMISSION N
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LISAPAP`RIE N#tWJp46'.
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EXPIRE Mry e ica Coln
53
SLCPDSD Revised 04/11/2011 (d071398�1�