HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGU UA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
462-1553
NOV 2 6 ',0'9
FILLED LAND AFFIDAN IT
5T, L w.c.fq County, Pgrrnittin9
I, the undersigned, am the owner of the following described property,
z Y_4'� .� 6 /-/A/ /ems /0/ 4g,eG�
(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.
P y O Name (Ple int)
Property Signature Date
STATE OF FLORIDA, COUNTY OF %A4-e71_ M
ACKNOWLEDGED BEFORE ME THIS /O DAY OF d C 7-0 "eIC- 20 / ( ,
BY C/4e1,r%-010W6A L/1 A1-'t`&&,4kHO IS PERSONALLY KNOWN TO ME ([a OR WHO HAS
PRODUCED /-' L ,C/ L AS IDENTIFICATION.
TXIYT 6ITNOTARY PUBL U
TYPE OR PRINT NOTARY
COMMISSION NUMBER
,�.;;�•%,;�: Gwyneth Ellyn Wood
of P alic, State of Hodda
Coriiibn No. FF 988516
IN. „ My Comm, Exp, May 8, 2020
SLCPDSD Revised 04/11/2011