HomeMy WebLinkAboutFlled land affidavit_ _ _ _ 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,
3427-701-0006-000-4
(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.
PAULCHARETTE
Prope er Name lease Print)
Z - i
Property er SIgRa6e Date
STATE OF FLORIDA, COUNTY OF ST. L U C I E
ACKNOWLEDGED BEFORE ME THIS —1 �= DAY OF —P h( LA Q ( L4 20��
By PAU L C HAR ETTE WHO IS PERSONALLY KNOWN TO ME (0) OR WHO HAS
PRODUCED DRIVER LICENSE AS IDENTIFICATION.
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SIGNATURE U1`NATURE OF NOTARY PUBL TYPE OR PRINT NOTARY
9(, S 3COMMISSION NUMBER
(SEAL)
E'resEK
c State of Florida
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sion GG 262653
SLCPDSDRevised04/11/2011 3/2022