HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division -
2300 VIRGINIA AVENUE RECEWPO
FORT PIERCE, FL 34982-5652
(772) 462-1553 JUN 21 2019
ST. Lucie County, Permitting
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
I H95 M b01a - U039 -bcol �I . l`6 3b WIL-1 CNE 14 VCAr Uver,
(Parcel Id#/Legal description/Address) 1 599 "1I
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Perniii, BP Number , 1 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.
V� J :��7 �'
Property ONner Name (Plea a Print) _ 9�
do AO
Date
STA rE OF FLORIDA, Cob-.%T1' OF Z,
ACKNOWLEDGED BEFORE ME "rFITS �� DAY OF 2U�
BY L6Y+'Gi f C4—A /).reA. — 144 �I c�t+o�WH0 IS PERSONALLY KNO\vN TO ME O OR WHO HAS
PRODUCEDAS IDENTIFICATION.
810WA—TURE OF NOTARY PUBLIC TYPE ' R;kka 'WTARY JOSHUA L MONDRY
COMMISSION NUMBER
SLCPDSD Revised 0411112011
Notary Public - State of Florida
Commission # GG 013970
My PAfA) Expires Jul 20, 2020