HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LANDS AFFIDAVIT
A4uno0 aion 1 'is
ju2wliedaG 5ul3alwjad
a3AI3D3if
I the undersigned, am the owner of the following described property, I g119 •Z//• 66ZO.060 •o
?i -I&/ ?Tare— 76 A-77-44 [_
(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(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.
Date
STATE OF FLORIDA, COUNTY OF�� Li -A- C 1 •# -
ACKNOWLEDGED BEFOR ME THIS — DAY OF -CaG— , 20-a.
BY,k,- ` V � `''1 WHO 1S PER ALLY WN TO ME OR WHO HAS .
NOTARY
AS IDENTIFICATIO .
TYPE OR PRINT NOTARY
r
C0MMf&S6ArNUMBER
ao,?�e�,c SHERRI FEHLMAN
Msion # GG 187160
Nj Q Expires March 14, 2022
yrFOFF\p BondedThruBudoNotaryservices
SLCPDSD Revised 08/24/2010