HomeMy WebLinkAboutFilled Land Affidavit M
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
m - 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 , V.
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FILLED LAND AFFIDAVIT MAR 0 7 2017
PERMITTING
St. Lucie County, FL
I,the undersigned, am the owner of the following described property,
72so aet;�� ev
(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
7.04.01(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 m property which will not adversely affect the immediate
q g Y P p Y Y
community.
rye �e�
Property Own r TAme(Ply else P int)
aJll7
Prope a Date
STATE F O A,CO qOFt-_��
ACKNOWL GED BEFO ME T DAY OF n V a (� 20_jj_
WHO IS PERSONALLY KNOWN TO ME L_j OR WHO HAS
PRO U=OFPU13LIC
AS IDENTIFICATION.
y: FAR
D HERNANDEZ
IGNA 'T O12PIZI1Id�l�$ION#FF172419
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SLCPDSD Revised 04/11/201 I