HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
6181 FIN " Building & Code Regulations Division
•0 R,2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 4624553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
905 Shorewinds Dr., Fort Pierce, FL 34949
(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
7604401(D)5 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.
Property Owner Name (Please Print)
Property Owner Signature
STATE OF FLORIDA, COUNTY OF � ��
3 ZG Zv Z/
ate
ACKNOWLEDGED BEFORE ME THIS �6 %f4 �Q'7
BY }P�1,�� �SL, WHO IS PERSONALLY KNOWN TO ME (Y� I) OR WHO HAS
PRODUCED
SIGNATURE OFNOTARYPUBLIC
�P 6619'6 / COMMISSION NUMBER
SLCPDSD Revised 04l11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
_�lri"e�;,• ADELE M. PORTA
MY COMMISSION # HH 061869
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*Z EXPIRES: Janyary 22, 2025
.'E�F,F�C.. Bonded nVu Notary Public Underwriters