HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772)462-1553
OFT 21 2020
FILLED LAND AFFIDAVIT Permitting Department
It, Lucie County
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/L .1 description/Address) 6 "gc Act a
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.
P oper weer Name (Please Print)
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Pr rty caner Signature Date
STATE OF FLORIDA, COUNTY OF - ` hV
ACKNOWLEDGED BEFORE ME THIS Ii, DAY OF XCJe„Oe 20 ,
BY hQC+Sf_j6, WHO IS PERSONALLY KNOWN TOMECE-1 OR WHO HAS
PRODUCED rt-- L>L , AS IDENTIFICATION.
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SIGGN��A..TURE OFeN� ARY PUBLIC TYPE OR PRINT NOTARY
(MISSION NUMBER
�r Pv ',: SANDY KELLEHER
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�; Notary pulj}itate of Florida
®?: Comm ss on GG 964I71
of:Nw'' My Comm. Expires Feb 6, 2023own
SLCPDSD Revised 04/11/2011