HomeMy WebLinkAboutFilled Land AffidavitREDO � D pU 2 6 IMS
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,
City, F1 34490
(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.
Michae etzk
Property O a (Please Print -
Property Own r Signature Date
STATE OF FLORIDA, COUNTY OF
Broward
ACKNOWLEDGED BEFORE ME THIS DAY OF�-
BY Michael Metzkes WHO IS PERSONALLY KNOWN TOME
PRODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 08/24/2010
Denise Brown
TYPE OR PRINT NOTARY
20 15
OR WHO HAS
AS IDENTIFICATION.
""'• DENISE BROWN
g�'e�a`•'-
Commissi6rS$I�FP 140607
Expires November 4, 2016
%� e`er, Bonded Thtu Troy Fatn Insuanoe 800385-7018
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