HomeMy WebLinkAboutFilled Land AffidavitRt` rl'.'70 FEB 0 9 � �6
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
-' Building & Code Regulations Division
° 2300 VIRGIMA AVJ?NUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
PILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
(Pareel10 Legal
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 iri 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. (- r-
Property Owner Name (rlease t- i )
Property Owner Signature Date
STATE OF FLORIDA,.COUNTY OF (. —6G
ACKNOWLEDGED BEFORE ME TINS ___ DAY OF 'F(-.t0i ;
f2dr i�f
BY WHO IS PERSONALLY KNOWN TO ME ( __j OR -WHO HAS
PRODUCED
SIGNATURE Of NOTARY PUI3LIL
COMMISSION NUMBER
SLCPDSD Revised 041/12011
AS IDENTIFICATION.
TYPE OR PRNT NOTARY
(SEAL)
F
ELIEZEN MATEO
otary Public - State of Flo M
Commission # FF 903300
yComm:Expires Jul 23. 2619
rxlsd thou[ NsOad Notary Assn.