HomeMy WebLinkAboutFilled Land Affidavit PY.ANNI)eT &DEVELQPMENT SERVICES DEPARTI E,NT
Building&Code Regulations Division
2300 VIRGIlVlA.AVENUE
FORT PIERCE,FL 34982-5652 RECEIVED
(772)462-1553
OE=C 14 2020
FM LED 1,AM AFj1'W, Vff PerMitting 9spartment
St. County
I,the undersigned, am the owner of the following described properi , i
(Parcel IMLegal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP NumberaW V'dc I acknowledge
that.as owner of the` above described property, and in accordadco 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 ilot adversely affect the immediate
community..
'+
Property Owly. le 0
Property.Owner si atur Date
STATE OF FLORMA,COUNTY OF Indian R Iyer
ACKNOWLEDGED BEFORE ME THIS I DAY OF De CerY1 r -e_r- 2o.20
BY 2\ K I ry%b2 I 1 WHO IS PERSONALLY KNOWN TO ME Zro WHO HAS
PRODUCED AS IDENTIFICATION.
5elinda Santiso
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COhMSSION NUMBER
SELI �g1TIso
Common 0080840
s . Expins July B,2021
ap;pl ;t, Bonded Thru Troy Feln Iniunnce 000.385.7019
SLCPDSD Revised 04/11/2011