HomeMy WebLinkAboutFilled Land Affidavit - SciaccaPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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Building & Code Regulations Division
• 2300 VIRGIMA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
34/lt/.ja- t _not "i30U —I Z .44 i e- t-1Yb /3I k r 1 �-
(Parcel Id#/Legal description/Address) 4
j e,1,4,
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.
Ca.2 M e- 110 5c -'c4.e e
Property Owner Name (Please Print)
Property Owner Signaturej Date
STATE OF FLORIDA, COUNTY OF ST1 rt C,l E
ACKNOWLEDGED BEFORE ME THIS ! 44' DAY OF SE PTCM6FIt . 20 ZO
BY CA A M1 ELL 0 9C / A CG A WHO IS PERSONALLY KNOWN TO ME ( ) OR WI [0 HAS
PRODUCED
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SIGNATURE OF NOTARY PUBLIC
GG 97.74y0 COMMISSION NUMBER
SLCPDSD Revised 04'11/2011
AS IDENTIFICATION.
1-?9-7-14 t-ro L,MAN Hu'I'H HOLMAN
TYPE OR PRINT NOTARY ►R
t NOTARY PUBLIC
STATE OF FLORIDA
cwyns GG973640
(SEAL) Expires 3/26/2024