HomeMy WebLinkAboutFilled Land Affidavit 3.10.2021 PLANNING &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 following described property,
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(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.
,OU I �O
Property Owner Name(Please Print)
-a
Proper weer Signature Date►
STATE OF FLORIDA,COUNTY OF v
�4ACKNOWLEDGED BF.F .ME THIS_ r�DAY O ,20 al
BY �U WHO IS PERSONALLY KNOWN TO ME( )OR WHO HAS
PROD CED AS IDENTIFICATION.
4'a2�
S ATURE OF NOTARY POILIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
,,yr nr,� Notary Public State of Florida
�r Frances Donna
� My Commission GG 092440
SLCPDSD Revised 04/11/2011 i�q�o� Expires 0712712021