HomeMy WebLinkAboutFilled Land Affidavit . 1
ST.LUCIE COUNTY
BUILDING &ZONING
LO `
r 2300 VIRGINIA AVENUE
A '_ FORT PIERCE.FL 34982-5652
F�ORIDP 4624553 .._ -
FILLED LANDS A,FFIDA,VIT
I, the undersigned, am the owner of the following described property:
Al , r,r—A /('v jd
(Tax 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 1
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.
DU(blnI i
I� Property Owner Name Property Owner SignapfVe -
Date
�
f/ , ISTATE OF FLORIDA,COUNTY OF JTr, C< 'f�
ACKNOWLEDGED BEFORE ME THIS DAY OF
BY N r A of /S u 1?-T-,,f WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION_
1 NATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE I COMMISSION NUMBER
' I
I
JO ANNE WILLS
h
k=_ commission#FF 188304
Expires February 20,2019
BaneW Thw Troy Fain Insurenoe BOG-385d019