HomeMy WebLinkAboutFilled Land Affidavit i
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
o Building&Code Regulations Division
2300 VIRGINIA AVENUE �� `:�_ {�. 7' ' t
FORT PIERCE,FL 34982-5652 E�: Egg 1! � E
(772)462-1553
MAR so 6 2017
FILLED LAND AFFIDAVIT PER;411TTiNG
St. Lucie County, FL,
I,the undersigned, am the owner of the following described property,
kno Coco Ntm �OULV-t
(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 my property which will not adversely affect the immediate
community. .
4"'A- G"0A a� �
erty Owner Name(Please Print)
• t`r
rope
Owrier Si a Lire Date
STATE OF FLORIDA,COUNTY OF y�• /mil�'�
ACKNOWLEDGED-11t , �/BEFO�RE ME THIS ' DAY OF � / I C�-Ci� 20_L-
0 BY 1'L(� L r I IQX 6 1 Qom- WHO IS PERSONALLY KNOWN TO ME L� U.
OR WHO HAS
P D CA17� AS IDENTIFICATION.
a�. man&
IGNATUOTARY PUBLIC TYPE OR PRINT NOTARY
I
COMMISSION NUMB R
` FARA D�gHgEA�R�NAN DEZ
MY COMM9§fR #FF172419
EXPIRES October 28,2018
(407)398-0153 FloridallotaryService.com
SLCPDSD Revised 04/11/201 I
i
it