HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
_.:,.. 2300 VMG1N1A AVENUE
FLIRT PIERCE, FL 34982-5652
(772) 4624553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the fallowing described property,
2532-5000-0077-000-5
(Parcel Id#/Legal description/Address)
far which l 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 accordancce 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.
C-
Owner kqme (Please Print)
Property QW�& Signature
STATE OF FLORIDA, COUNTY OF 4 I M Y _
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bate
ACKNOWLEDGED BEFORE ME THIS i DAY OF -7) 0� ,/L- 20J�-,
BY ��7.�L f-C.� WHO IS PERSONALLY KNOWN TO ME 0] OR WHO HAS
PRODUCED [. `J_ ti �. " T L r AS IDENTIFICATION.
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NOTARY PUBLIC TYPE OR PRINT NOTARY
t i�, T - A 4 COMMISSION NUMBER
(SEAL.)
sLCPDsn Revised 0411112011 GERI KAY SHUBERT
Notary Public - State of Florida
CommlSSion # HH 044141
My Comm. Expires Oct 7, 2024
Bonded throup National Notary Assn.