HomeMy WebLinkAboutFilled land affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
s , ' Building & Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
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FILLED LAND AFFIDAVIT 2 / 0 3 -0 L57
1, the undersigned, am the owner of the fo Ilowing described property,
1325-233-0000-000/7 I 31g4 N Kings F
for which I have applied to St. Lucie County for a Final Development Permit. [n
accepting this Final Development Permit, BP Number 2103-0657 1 acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, l 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.
Property Owner Name (Please Prin
Property Owner Signature Date
STATEUP FLORIDA,COUNT'Y OF .Zn�t,/l//4.. /(w U.�-__
ACKNO/eWLLF.DORD� BEFORE METERS _'ri!'c DAY OF 4444Gc .20 Z�/
i'U! BY (LLAfiJ /, ?OYr/71e "_ [10 IS PERSONALLY KNOWN TO MF (L?R OR WHO HAS
PRODUCED
AS IDENTIFICATION.
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SIolqATURROFNMRY PUBLIC TYPE OR PRINT NOTARY n^ RAVINA MICHELLE BARKLEY
--.-----.COMMISSION NUMBER Commission # GG 174094
7z' Expires February 3, 2022
(SEA )'?;o7E:gY` Bonded Thm Troy Fain Insurance 800.385-7019
SLCPDSD Revised Oq/I 1201 I