HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
i - Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT FEB 6 1011
Permitting Department
St. Lucie County
I, the undersigned, am the owner of the following described property,
_3420-703-0129-000-5 !99 1-7
(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 _2102-0710 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.
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Property Owner Name(Pie t)
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF��T�� (P
ACKNOWLEDGED BEFORE ME THIS (l oth DAY OF 1' 1D 20 BY
�ftfflcia F � WHO IS PERSONALLY KNOWN TO ME(_)OR WHO HAS
PRODUCED '7),9-0 AS IDENTIFICATION.
SIG qT n OF NOTARY ITT L7CtYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
=,opyNotary Public State of Florida
n L Bowen
ommission GG 2198212SLCPDSD Revised 04/11/2011es 02104/2023