HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the of mg der cri d pro ert
/3S�-SD -6D ��DL�
&W /TZ Xo7"�D Z' ZG z � �o.v �fE.e, .
(Parcel Id#/Legal descripti Address)
el4a
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 2-105- 0 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.
yen aL rK
Property Owner Name (Please Print)
2--
Properfy Owner Signature Date
STATE OF FLORIDA, COUNTY OFS% /� I e -
ACKNOWLEDGED BEFORE ME THIS As DAY OF 1 � 46 , 20 Z/ ,
BN��y t- / / 94Q A_0 __WHO IS PERSONALLY KNOWN TOME (q) OR WHO HAS
--r- I _
AS IDENTIFICATION.
OF NOT Y PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER o10N, PU, SHERR! FEHLMAN'
SEAL + �;�,' A Commission # GG 187160
�9r4; f`�o: Expires March 14, 2022
TFOF FtQ. bona d Thru Budget Notary Services
SLCPDSD Revised 04/11/2011