HomeMy WebLinkAboutFilled Land Affidavit rr 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,
8020 GERMANY CANAL RD, PORT ST. LUCIE PID#3229-323-0004-000-2
(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, 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.
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Property Owner Name(Please P nt)
'Property Owner Signatur Date
S'rA'I'E OF FLORIDA,COUNTY OF <QJr__ A
ACKNOWLEDGED BEFORE ME'rins- � DAY OF 20
BY cK.rU6--e- CMW� WIIOISPEI NAL.LYKNOWN'I lE(_)OR WHO HAS
PRODUCED AS IDENTIFICATION.
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S10NA'I RE OF NOTARY PUBLIC 'TYPE,OR PRINT NOTARY
COMMISSION NUMBER
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uy oe EXPIRES:Febru8ry25,2021
1".,",Z, Sanded Thru Budget No"Services
SI.CPDSD Revised 04/11/201 1