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,
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(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.
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P ope ty ,vner N (Please Print)
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P Yp rty Owne i a ur�b) - Datef
STATE OF FLORIDA,COUNTY OFF
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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
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PRODUCED C L I AS IDENTIFICATION.
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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