HomeMy WebLinkAboutFilled Land Affidavit I7DI-GI7g
PLANNING.& DEVELOPMENT.SERVICES.DEPARTMENT
- Building.'&.Code Regulations Division.
?300 -
_.._._..-----......__......_...----.._..._..__ UIRGINIA.AVENUE _.
.FORT PIERCE,FL 34982-5652 lq['� C E I V —
(772).462-1553.
LAND-AFFIDAVIT
FILLED
,
FERM11T1iVG.
St..Lucie County, FL
I, the undersigned; am the.owner ofthe-following described.property;.:
852 dflow r C ou'rt 3425-702-0059-000/7 )
(Parcel I/Legal description/Address)
for which'.I..have`.applied to .St Lucie; County for.a -Final..Development Permit. In
accepting:this Final.Development 'Pernut, BP Number . 1-1 -OS)X,.I acknowledge
that .as owner .of the.:above described property, .and::in...accordance with Section'
7:04.01(D); St..Lucie County Larid Development Code;I shall-be responsible for assuring-
adequate. drainage-so:that the irnrnediate community_WILL NOT be.adversely affected.
I further ackriowledge�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.
Prope r Na a(PIease.Print
-12-2017
Property er igna e .. . Date
STATE OF FLORIDA,COUNTY OF S t. : Luc i e
ACKNOWLEDGED BEFOREMETHIS 12th DAY OF_January 12017
BY Roleigh Haggett WHOIS+PERSONALLYKNOWNTOME(. X)ORWHOHAS
PRODUCED_ AS LDENTIFICATION.
_ _ /l�� _ Sheryl D. Moore
SIGidP7RE O-FOTARY PUB TYPE OR PRINT NOTARY --
D.Move
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STATE OF FLORIDA
C mm#FF942382 (SEAL)
Eores.1/15/2020
SLCPDSD Revised 0411 1/2 0 1 1