HomeMy WebLinkAboutFilled Lands _ ST.LUCIE COUNTY
r BUILDING & ZONING
- 2300 VIRGINIA AVENUE
a FORT PIERCE,FL.34982-5652
o o 772-462-1553
FILLED_LAN-D&AFFIDAVIT--- --- - - -- -
I,the under igned the ovser of the fallowing describedRrope �y
7
(Tax 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(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.
Q Qjc�'�G
Property Owner Name Property ner Signa Date
STATE OF FLORIDA,COUNTY 001 � -
AC KN WLEDGED BEFORE ME THIS DAY OF v ' ' 20L/-
!�-BY WHO IS PERSON KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
LA JD CP r
SIGNATURE OF TARY TYPE OR PRINT NAME OF OTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
ro1a V cy`c AUDREY B.HUMPHREY
MY COMMISSION#FF 174772
EXPIRES:March 6,2019
Bonded Thru Notary Public Underwriters
121