HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT RECEIVED
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE FEB I;9 1021
FORT PIERCE, FL 34982-5652
(772) 462-1553 Permitting Department
St. Lucie County
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described ro ert �� 4.t� �T 7
3�o�•�off•o L/�G9•aao •O /iyo�,9.,,,�ieir
(Parcel Id#/Legal description/Address)
I
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.
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME T_ DAY OF )C::gle
BY. IS PERSONALLY KNOWN TO ME OR WHO HAS
unu lAS IDENTIFICATION.
SI NA'rUR OF NO'rAR PUBLiC TYPE OR PRINT NOTARY
SHERRIFEHLMAId
i OMMISSION (NUMBER u . u ^iJeh1mis910n # GG 187160
�Wres March 14, 2022
(SEAL)tia Ifrde3lhrvB�dgelNotary3eMces
SLCPDSD Revised 08/24/2010