HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGH41A AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
marr-oo ao-=353ER 6XW FTOFW 119 OFSE W-i FWMDCMt MWMMLM AMRO RWAS NORMWIM ON MCOW0. PMST, LUGIE,R.USP
(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.
DANIEL- LE KING
Property Owner Na a (PI Print)
Property Owner Sign tore Da
STATE OFFLORIDA,COUNTY OFST• LUCIE
ACKNOWLEDGED BEFORE ME THIS DAY OF / v GUC V—r N)0t . 2012,Q_.
BY IS PERSONALLY KNOWN TOME (ED) OR WHO HAS
PRODUCED
Ci C 17 & 176coNmmSION NUMBER
TYPE OR PRINT NOTARY
(SEAL)
AS IDENTIFICATION.
ICE
MARIA MAHLSCHNEE
SLCPDSD Revised 04/1 R2011 NOTARY PUBLIC
STATE OF FLORIDA
Comm#GG176176
e Expires 1/17/2022