HomeMy WebLinkAboutFilled Land Affidavit W PLANNING &DEVELOPMENT SERVICES DEPARTMENT
s,o Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
R E I�'y D MAR 2 i 7o 17 FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
175
(Parcel IM/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 WELL 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.
6,vel v o V6J ku-
erty O mer tarne(Please Prin
_ 3 . 13 17
C-15roperty O er Signature Date
STATE OF FLORIDA,COUNTY OF f6f- 6C-L�—_
ACKN WLEDGED BEFOREE M1E,THIS
n DAY OF (I 1' k� 20�
BY t�.l K JL.Y WHO IS PERSONALLY KNOWN TO ME U OR WHO HAS
PR D CED �� AS IDENTIFICATION.
SIGNATURE OF NO ARYPU13LIC �� i $ ` HERNANDEZ
COMMISSION NUMB MY COMMISSION#FF172419
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•' EXPIRES October 28,2018
(407)398-0153 FloridaNtTtP&rvice.com
SLCPDSD Revised 04/1 M2011