HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
STM Building & Code Regulations Division
2300 VIRGINIAAVENUE
FORT PIERCE, FL 34982-5652 0�rvjty
(772) 462-1553
-L
FILLED LAND AFFIDAVIT �m`C�`�9 val nto t
Per ��C
St.
I; the undersigned, am the owner of the ollowing described property,
3 l O 6C) L
(Parcel [d#/Legal description/Address)
for which I have applied to St. L cie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
that as owner of the above described property, and in accordance i w tlh sectdion
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assur'
adequate drainage so that the immediate community ing
WIL— be adversely affected
I further acknowledge that in granting this permit for the development ofthis property,
St. Lucie COLIIIty 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 a e (Plea�rinv)i
Property ignature 7i3
Date
STATE OF FLORIDA. COUNTY OF 5
t ti,q=
ACKNOWLEDGED IIEFORE ME THIS
BY �l) i -- DAY OF-e�r'��.0.�/ 20_7—
Aj
„'� WHO IS PER A.,",KNOWN TO ME 7�� OR WHO hfAS
PRODUCED
II AS IDENTIFICATION
4NATLTREOFN fAR UBLIC �ILKAQ� JVh
TYPE OR PRINT NOTARYV N j ON
O 4 I COMMISSION NUMBER
(SEAL)
��+ o ' •
' p` • •
SLCPDSDRevised 04/11/2011 G�•:
RICHAP,O 006GLAS JOHNSON
Nolary Public- Slele of Florida
Comnssoe;pGG084821
•" ��
My Comm Expires Mar 20.2021
"'
BunledlNayhNdbOndlNalaryAssn.