HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
AreJ ID# 3518-Y3s•000l•neo.c� Mg So.1��;�.12;uer Dr..
(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 , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04401(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WH L 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.
SARA C LPO L
Property O e Name e
operty Owner Signature Date
STATE OF FLORIDA, COUNTY OF STD L U eu E
ACKNOWLEDGED BEFORE )ME THIS 6?'5 DAY OF aul 12 ,
BY Q Q Gt J —WHO IS PERSONALLY KNOWN TOME �,/ OR WHO HAS
PRODU ED AS IDENTIFICATION
/J
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY' f
F COMMISSION NUMBER V
SLCPDSD Revised 08/242010
(SEAL)
§21—WiA,
y P;�,,,diLLIAN KRIEGER
Notary Public - State of Florida
•: My Comm. Expires Aug 7, 2017
Commission # FF 043247
''•°� &r*d 7koo National Notary Assn.