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,
465 SE VERADA AVENUE
(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.
Property Owner-Name(P eas int)
i
Property Owner Igna a Date
STATE OF FLORIDA,COUNTY OF ULA 1f'
ACKNOWLEDGED BEFORE ME THIS DAY OF .20=A .
BY����1�n ln- WHO IS PERSONALLY KNOWN TO ME(12 OR WHO HAS
PRODUCED RIVER LICENSE AS IDENTIFICATION.
U� � C\�
SIGNATURE TARY PUBLIC TYPE OR PR OTARY-1 101 COMMISSION NUMBER
iLUCYoARYi, (SEAL)
2i• �fj Notary Public-State of riorida
o: Commissior•`GG 9372744
My Comm,Expires De:=.2023
SLCPDSD Revised 04/11/2011 Borded t�•r c;h vatiora'. =''-ry Assc.