HomeMy WebLinkAboutFilled Land AffidavitRECEIVED DEC 1..4 7.016
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
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I, the undersigned, am the owner of the following described property,
Palm City, F1 34490
(Parcel Id#/Legal
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 j hat 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.
Scott Harala
Property Owner Name
(Please Print)
Property Owner SignatureDate
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STATE OF FLORIDA, COUNTY OF
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Broward
ACKNOWLEDGED BEFORE ME THIS _ C DAY OF Doc, 20 1 66
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BY Scott Harala WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
/f Denise Brown
SIGNAT OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
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' '�`%r''�'�%'': D� FF 140607
='R'' ° Commission # 2018
Expires November 4,
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SLCPDSD Revised 08/24/2010'�i