HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 MAR 12 2021
(772)462-1553
Permitting D-apartment
St. Lucle Courrty
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described propert ,
t'� y-\J)0e(qRr0
(Parcel Id#/Legal dlscription/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 2 j n f , 009,3 , 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.
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF 5 k Wu
ACKNOWLEDGED BEFORE ME THIS \ DAY OF __ , 20 "-' 1
BY c ��(��yLS �o Ti�CT' Y�VVHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED } �4L� AS IDENTIFICATION.
)a EALS
SIGNATURE OF NOTAR PUBLYC TYPE OR PRINT NOTARY
OMMISSION NUMBER
2O.�p`,RY PCB(. (S
EN VAUGHiV
:State of Florida -Notary Public
=N r
_ Commission # GG 270079
'o�oFF�o?o My Commission Expires
October 22, 2022
SLCPDSD Revised 04/11/2011