HomeMy WebLinkAboutFilled lands Affi J
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the followin described property,
a- W I q - �- �� t ai Z.eSer Jt �tu rii(
(Parcel Id4NLegal description/Address) 10 a1- 7 6+— I
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.
7"S U L7'1.o-5
Prop erl @r Name (Please Print)
`rroperty Owner Signature Date
STATE OF FLORIDA, COUNTY OF UCCtZ
ACKN�O�//��'L''E11Dnn GyyED BEFO M.E_J�.� S_ DAY OF �JG{, W! 20�,
BY I V LIVVl4AdSYtcs WHO IS PERSONALLY KNOWN ME OR WHO HAS
AS IDENTIFICATION.
�Y l9 X JZI- 1641
TYPE OR PRINT NOTARY
NUMBER
=E.p,—.11211�.�2
te of FlonoaanG 22143422
SLCPDSD Revised 08242010