HomeMy WebLinkAboutFilled Land Affidavit I
I
�sw PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
_ 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
5g05 pec-P Qt3o TR. �T- P►t-P-Cr Fr_ �'�g165]
(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 , 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.
JOHN C� 6LDUX
Property 0 /Plea int)
3 10 aD
er lgnature Date
STATE OF FLORIDA,COUNTY OF sg_,
ACKNOWLEDGED BEFORE ME THIS DAY OF .20
BY ���&\V, WHO IS PERSONALLY KNOWN TO ME 101)OR WHO HAS
P ODUCED �Jl/� AS IDENTIFICATION.
VT&YPATURE OF NOTAR�PUBLIC E OR PRINT NOT J
COMMISSION NUMBER
�q�RA'HMING
(S,�,HI AL c 17tb1 HNAINGRA
G0A,IMISSION;#GG 275060
w ` EXPIRES:December 20,2022
Bonded Thru Notary Public Underwriters
SLCPDSD Revised 04/11/2011 .de
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