HomeMy WebLinkAboutFilled Land Affidavit • i
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIROTNIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 �t
FILLED LAND AFFIDAVIT MAY 17 2017
PERMITTING
St. Lucie County, FL
I,the undersigned, am the owner of the following described property,
)31 'e 5��" Pyre G
(Parcel Id#/Legal d cription/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.
i�-LLkl
;Prop=^0wjer (ease Print)
Pr Own Signature Datc
STATE OF FLORWA,COUNTY OF C
ACKNOWLEDGED BEFORE ME THIS DAY OF 0- �1 20 i 7
g7' ` ut'i r)VAU O IS PERSONALLY KNOWN TO ME C OR WHO HAS
PRO UCED �.�r AS IDENTIFICATION.
JosarKIM A htgrafan
NOTARY PUBLIC
SIG TURE OFNOTAR PUBLIC TYPE OR Pt A DA—
Comff*GG03ZM
COMMISSION NUMBER ' , 9 Eypres 3WOM
(SEAL)
SLCPDSD Revised 04/I 1/201 I