HomeMy WebLinkAboutFILLED AND 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,
3402-609-0212-000-1 / INDIAN RIVER ESTATES -UNIT 08-BLK 57 LOT 34 / 5513 HICKORY DR
(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.
ryeAetll
P�Flerty Owner Name (Please Print)
�f 27 t
roperty Owner Signature Date
STATE OF FLORIDA, COUNTY OF SV 1—( \.C-1.C-
ACKNOWLEDGED BEFORE ME THIS 27 DAY OF '-b l)Clt( / , 200
BY TWHO IS PERSONALLY KNOWN TO ME (I is OR WHO HAS
PRODUCED D4,IVER LICENSE AS IDENTIFICATION.
SIG/N�ATURE 0#97r,,RY PUBLIC
6 A COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
J
Luc
TYPE P 1 T NOTARY l
LUCY BAROCIO
Notary Public - State cf Florida
(SEAL) Commission; GC- 937274
My Comm. Expires
Dec 4. 2023
Bcnded through Wcra: %ctary Assn.