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HomeMy WebLinkAboutFilled Land Affidavit i PLANNING & DEVELOPMENT SERVICES DEPARTMENT COUNTY Building& Code Regulations Division • 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 RECEIVED FILLED LAND AFFIDAVIT MAR 0 5 2021 Permitting Daaartment St. Lucle Count}, I, the undersigned, am the owner of the following described property, -�/ Gj -rG h '�a( LgZ/ 1C?-��2 7�� �CY F L•�• (Parcel Id# egal descrip ' a/tc A ) 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. 1 " P ope ty ,vner N (Please Print) S 2/ P Yp rty Owne i a ur�b) - Datef STATE OF FLORIDA,COUNTY OFF a ACKNOWLEDGED BEFORE ME THIS CJ DAY OF F ,20 1 , BY-T%4y' 'h'9 G'dV\ZglC2 WHO IS PERSONALLY KNOWN TO ME ❑U OR WHO HAS p PRODUCED C L I AS IDENTIFICATION. " •�� �tea..►.r9 G��s,n� SIGNATURE OF N ARY PUBLIC T cs��3S� <�YP6e:, DEANNA GIVENS � OMMISSION NUMBER ?�: �� Notary Public-State of Florida Commission;HH 086359 F My Comm.En 28.2025 Bonded through National Notary Assr. SLCPDSD Revised 04/I IP20I I