HomeMy WebLinkAboutFilled Land Affidavitn,y
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLET.) LANDS AFFIDAVIT -.
I, the undersigned, am the owner of the following described property,
(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 rriy property which will not -adversely affect the immediate
community.
/14IVA, , lA O;
dvl&�
Propeity caner Si a Date
STATE OF FLORIDA, COUNTY OF (�
ACPUCED
GED BE RE ME THI7C9:!� DAY O� 20
BY WHO IS PERSONALLY I{NOWN TO ME OR WHO HAS
PR AS IDENTIFICATION.
SIGNATURE OF NOTAkY P IC TYPE OR PRINT NOT
A /_ COMMISSION NUMBER
FRANCE$ DONZA
AIMY COMMISSION it FF 014070
o� EXPIRES: July 27, 2017
•'�'RF� � �. Bonded Thru Notary Publio Underwrhm
SLCPDSD Revised 08/24/2010