HomeMy WebLinkAboutFilled Land Affidavitµ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
a Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
3416 Industrial 3lst., Fort Pierce Fl. 34946 / 1429-50I-0049-000-3
(Parcel ld#/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,1 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.
operty Owner N e ,( .lease int)
Property Owner 1 ature Date
STATE OF FLORMA, COUNTY OF
ACKNOWLEDGED BEFORE
M�E THIS b DAY OF 1y�'�2 C ��-- .20
LI ,
BY �S e-� r vl t9� a WHO IS PERSONALLY KNOWN TO ME (9OR WHO HAS
SLCPDSD Revised 04/11/201 I
AS IDENTIFICATION.
(SEAL)
'I'sY v%. Vickie Lee Wright
e. Notary Public, State of Florida
;4¢ My Commission Expires 03/11/2024
I on ce` Commission No. 013 953086