HomeMy WebLinkAboutVanessa Cruz - Filled Land Affidavit - Complete PLANNING & DEVELOPMENT SERVICES DEPARTMENT
■ Building & Code Regulations Division
23(W VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
2408-602-0002-000-41CLYDESDALE HEIGHT'S BILK 1 LOTS 1 AND 4(0.33 ACY410 N 40th St Fort Pierce,FL 34947
(Parcel IM/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)
:so tmL C r6/(f— l - 0a-acRo
Property Owner Signature Date
STATE OF FLORIDA,COLJNTY C)F -�+►—uol
ACKNOWLEDGED BEFORE ME THIS - DAY OF � 20
BY `^ o� ` — WHO IS PERSONALLY KNOWN TO ME Q OR WHO HAS
PRODUCED �i— V�C�S AS IDENTIFICATION.
SI A URE OF NOTARY PUBLIC
C•
TYPE OR PRINT NOTARY
ION NUMBER
Nalary PUMIC State o}Florida
AN 1 ANDERSON
r U5s ISSLon GG 918454
Exp res b411412624
SLCPDSD Revised 04/11/2011