HomeMy WebLinkAboutFilled Land AffidavitPLANNING & 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,
10701 S OCEAN DR #609
(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 0_1 om _ o -2,—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) , , r
�o�, S rti� ALL L4 -�
Property Owner Signature Date
STATE OF FLORIDA, COUNTY O�i.t�—
0�4AQjCqOWLEDGED B ME THIS ,, -1 DAY O 0 _,
B O-kM WHO IS PERSONALLY KNOWN TO ME (�OR WHO HAS
OF
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
PRINT NOTARY
Nota Public State of FWWa
MAW Nhms Armstrong
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'0lop nr Expires 09/16/2023