HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
$ s Building &Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
(772) 4624553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#1Lega1 descripiion/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
7.04.0l (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
Irg1U:1■\`L�J�.%Ila�)F91 . li '
r
STATE OF FLORIDA, COUNTY OF ,) �' . L, U � I �,
Date
ACKNOWLEDGED BEFORE ME THIS `
BY f Cl Lae L ci Z i t> WHO IS PERSONALLY KNOWN TO ME (a} OR WHO HAS
PRODUCED Cy z r S L i L 2 n oi z AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
GCS 353 ? 8$ COMMISSION NUMBER
TYPE OR PRINT` NOTARY
(SEAL)
.►r`'` "�t>, Notary Public SiaEa O/ Florida
SLCPDSD Revised 04/i l/201 i � � Kfieten Geil 011NeirB P ' My Commission GG 35388i9
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