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,
(,b?' q8 od L535+ 0"10A VE/ +Z7-4— Vol — 00113 — DOI —
(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.
I'Ar A'+)4010-
Property Own r Name(Please int)
k)—, _'<t2y.
Property r Signature Date
STATE OF FLORIDA,COUNTY OF C � lPUAAly
ACKNOWLEDGED BEFORE ME THIS / DAY OF f(II" ,201,
BY A1+4AS WHO IS PERSONALLY KNOWN TO ME(_)OR WHO HAS
PROPaVD on AS IDENTIFICATION.
Ce(oL4xi4&
SIGN OF NOTARY PUBLIC TYPE OR PRTNT NOTARY
COMMISSION NUMBER
(SEAL)
G.CELENTANO
SLCPDSD Revised 04/1 I/2011 MY COMMISSION#FF 067057
EXPIRES:December 11,2017
Bonded TMu Notary Pubk Undemders