HomeMy WebLinkAboutFilled 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,.
(Parcel Id#!Legal descripdon/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 thisproperty,
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.
GRBK GH01-Y! -- 1�/ e u.c.
Property Owner alne (Please Print)
Property O -fr.0 V6ture Date. -
STATE OFFLORIDA,COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS t 9b DAY OF 20�0-0
BY William Handler WHO IS PERSONALLY KNOWN TO ME (Eb OR -WHO 'HAS
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• ,, , 7�� Commission # �G06087
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SLCPDSD Revised 04/1 IR011
AS IDENTIFICATION.
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