HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
® FORT PIERCE,FL.34982-5652
a e 772-462-1553
- - --FILLED LANDS A.FF- DA- - -- __. -_--- --- - --
I,the undersigned, am the owner of the following described property:
gvc__e,1 • 2313- 12-4-o0p9 -o00-I z 1325 9ennett Fort Prerze,FL 3u9K7
(Tax ED/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 ,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.
�GtV 1 C� Co YYI�U trA al&A
Property Owner Name Property Owner Signature Date
i
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED B RE ME THIS DAY OF 20_
BY 00MA Q WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIRCATIO .
SIGNATURE OF OTARY TYPE OR PRINQME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
. J