HomeMy WebLinkAboutFilled Land Affidavit PLANNING & 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,
(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() St.Luc_ie County Land Development Code,I shall be responsible for_assurin�__
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
ACKNOWLEDGED BEFORE ME THIS- +h DAY OF MacrfjQ .20 7
BY � �C�r� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRO D�YI_ 12L— AS IDENTIFICATION.
Ayta MAria Z _z_p
G ATURE OTARY PUBLIC TYPE OR PRINT NOTARY
33I COMMISSION NUMBER t ANA NUTRIA RIZZO
o NOTARY PUBLIC
ctw_
STATEM F FLORIDA
+; Comm#FF921331
'SCE 19 Expires 9/23/2019
SLCPDSD Revised 04/11/2011