HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
RECEIVED
FILLED LAND AFFIDAVIT NOV 13 2020
Permitting Department
St. Lucie County
I, the undersigned, am the owner of the following described property,
3 01 - L-0 o f - Q� .=0 x x.x X Core I � (� Ate, rAz-
(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.
Vv F-L LLB
Property 04ner IName (Please Print)
Propeytylbwner Signature Date
STATE OF FLORIDA, COUNTY OF CJYP_Vzp2-r(-A
ACKNOWLEDGED BEFORE ME THIS - ` DAY OF ( CALM- � , 20 ✓
BY CI Ct�PL Ct_L L L} WHO IS PERSONALLY KNOWN TO ME (0) OR WHO HAS
( PRODUCED AS IDENTIFICATION.
SIGNAATT(U�R-vE� 1OF NOTARY PUBLIC TYPE OR PRINT NOTARY
v C) COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
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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,
i 3�) • �PD7 • � .DCVO � t^C'�C�i c�) ✓lam /—�YP�
(Parcel IM/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 a01 1 - 03Qj4,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.
1-q-y );:L. LLG
Property 0 r Name (Please'Print)
-pro
,p er Signature Dpe
STATE OF FLORIDA, COUNTY OF
i
ACKNOWLEDGED BEFORE ME THIS DAY OF IV l:rJ �•1 1 1� A
BY �WHO IS PERSONALLY KNOWN TO ME (CI) OR WHO HAS
PRODUCED
SIGNATUREOFNOTAII,Y170BLIC -
R COMMISSION NUMBER
I
IDENTIFICATION.
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TYPE OR PRINT NOTARY
(SEAL)
SLCPDSD Rcviscd 04111/20I I NOWV puW Sow d Flo"
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