HomeMy WebLinkAboutFilled Land AffidavitCOUNTY
E L o R I D R
& DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 REC +ED
(772) 462-1553
FEB 12 2020
ST. Lucie County, Permitting,
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#1Legal
for which 1 have
accepting this Fina
that as owner of
7.04.01(D), St. Luc
adequate drainage
I further acknowlet
St. Lucie County i
adequate drainage
community.
GRBK GHO
Property Owner
Property
STATE OF
ACKNOWLEDGED
aY William H
SLCPDSD Revised 04/112011
qu-2-s r no wood Lh -
pplied to St. Lucie County for a Final Development Permit. In
Development Permit, BP Number , I acknowledge
the above described property, and in accordance with Section
County Land Development Code, I shall be responsible for assuring
that the immediate community WILL NOT be adversely affected.
ge that in granting this permit for the development of this property,
neither obliged nor liable to. provide for, or maintain in any form,
off my property which will not adversely affect the immediate
LLC
2-
Date
St. Lucie
ME THIS DAY OF % -(/� , 202L--
WIiO IS PERSONALLY KNOWN TO ME (Z OR WHO HAS
(SEAL)
AS IDENTIFICATION.