HomeMy WebLinkAboutRaffa- filled land affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
L . }Y Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
7674 GREENBRIER CIRCLE
(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.
Pr erty Owner Name (Pleas int)
r erty Owner Signatu Date
STATE OF FLORIDA, COUNTY OF _5+ LU C 11
ACKNOWLEDGED BEFORE ME THIS DAY O t I lUa` L 20�
BY(E n+(/c Igo e o"[-fQ WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED DRIVER LICENSE AS IDENTIFICATION.
.( VZZ0
SIGNATURE OFNOTARYPUBLIC TYPE OR PRINT NOTARY
GM & �Wa �J COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/1 1/2011
=°�P�Y pua^ Notary Public State of Florida
Heather Vizzo
o` My Commission GG 262653
of a°� Expires 1111312022