HomeMy WebLinkAboutCoppola Filled Lands Affidavit } t t
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PLANNING&DEVELOPMENT SERVICES DEPARTMENT
BUILDING&CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I,the undersigned, am the owner of the following described property,
(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
7.04.0 i(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.
Prop e e(P
erty Owner i hint)
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Propgriatwe Date
STATE OF FLORIDA,COUNTY OF � � LCp
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ACKNOWLEDGED BEFORE ME THIS i DAY OF , Y7s t 20 •� ,
BY �w b b WHO IS PERSONALLY KNOWN TO' f FOR WHO HAS
PRODUC AS IDENTIFICATION.
SIGN RE OF NOT Y LIC TYPE OR PRINT NO
: � �'tM1'' Y p� Notary Public State of Florida
COMMISSION NUMBER r" �; Francene Newman
My Commission GG 221434
Expires 05/23/2022
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SLCPDSD Revised 08/24/2010