HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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,
5105 Pinetree Dr Fort Pierce, FL 34982
(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.
Jl�✓/S �<�L�S
Property O Name Please Print)
Property Owner ftnature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS �3 DAY OF Ift O%q!a AAiI , 20 1 1
BY � f A-$*- S (o %k P S WHO IS PERSONALLY KNOWN TO ME Lgi) OR WHO HAS
PRODUCED
SIGNATURE OF NOTAR�PUBETC�------"'
COMMISSION NUMBER
TYPE OR PRINT NOTARY
1FPr ►ii •` DIANNE LYNN BEASLEY (SEAL)
WN Notary Public State of Florida
Commission # GG 935196
horn My Comm. Expires Nov 26, 2023
Bonded through National Notary Assn.
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.