HomeMy WebLinkAboutFilled Land Affidavit4 1
!' PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE "
Will"" FORT PIERCE, FL 34982-5652
(772)462-1553 .
FILLED LAND AFFIDAVIT
I, the undersigned, am the.owner of the following described property,
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�3�ta -Sad - aaSz - oao�2 @ T2t��.'P�tizr- UNIT y, BI.e,32� LaTSZ
(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(1)); 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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Owner Signature
Date
STATE OF FLORIDA,, COUNTY OF��
A%NOWLEDGI�D BE ME DAY O ' �®R
B�/tJ S IiI41L—
�— WH IS ER ONALLY KNOWN TOME WHO HAS
PR UCED ` l / I �.L�� AS IDENTIFICATION.
�YPANTAN D IV1EITN_..:SIGNATURE OF NOTARY PUBLIC NOTARY
COMMISSION NUM ER
(SEAL)
�.rs► o Notary Public State of Florida
Susan D. Meitner
SLCPDSD Revised 04/11/2011 My Commission GG 208849
i�� R Expires 05/25/2022