HomeMy WebLinkAboutFilled Land Affidavit I
. J
--,_-EliL�;: =:�-� PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
-- -----__ -- __-- 2300 VIRGINIA AVENUEF ='
FORT PIERCE,FL 34982-5652 L7—tl,
(772)462-1553
APR 12 2-0.17
FILLED LAND AFFIDAVIT Pl RV,1 fl71 MIG
St. Lucie County, FL
I,the ipdersigned, am the owne of the following described property,
(Parcel I #/Legal description/Ad Tess) 06 `
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 ease Pint)
Property Owner Sign Date
i
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF T 1 ( 20 ,
BY WHO IS PERSONALLY KNOWN TO ME( OR WHO HAS
PRODUCED f1 Oli AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLtt TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
DEBORAH S.VEGA
W COMMISSION#GG 009206
EXPIRES:October 4,2020
SLCPDSD Revised 04/11/2011 , *4�c Bonded Thru Notary Public Underwriters
I
i