HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
RECEIVED
FILLED LAND AFFIDAVIT MAR 12 2021
I
Permitting D-apartment
Bt. Lucie County
I,the undersigned, am the owner of the following described property,
_ l �- � _
(Parcel Id ga 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.
Property-Owner Name(Please Print)
Property Owne ature Date
STATE OF FLORIDA,COUNTY OFSA-
ACKNOWLEDGED BEFORE ME THIS 1a DAY OF MO '( 20��
BYo*rJCV'hq_Y� WHO IS PERSONALLY KNOWN TO MELD OR WHO HAS
PRODUCED \L�L AS IDENTIFICATION.
SIGNATURE OF NOTAR UBLIC TYPE OR PRINT NOTARY
3S'BPMMISSIONNUMBER r�iepY'aq�", DEANNAGIVENS
Notary Pub�tp �S��ddto of Florida
=a" e`' Commis' H 086359
oFF`O° My Comm.Expires Jan 28,2025
Bonded through National Notary Assn.
SLCPDSD Revised 04/I l/20l l