HomeMy WebLinkAboutFilled Land AffidavitI
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 MAR 12 2011
(772)462-1553
Permitting Department
St. Lucie County
FILLED LAND AFFIDAVIT ,
I, the undersigned, am the owner of the following described property,
co�
(Parcel Id#/Legal descripdon/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.
Date
� 1
STATE OF FLORIDA, COUNTY OF�
ACKNOWLEDGED BEFORE ME THIS��I DAY OF G1f�,6- . 20 ,
BY r- n n f,. �CdG- rni �1� WHO IS PERSONALLY KNOWN;TO ME O HAS
PRODUCED
IGNATURE OF NO Y PUBLIC T TYPE OR PRI T NI� OTARY ,
CO SSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
Notary Public State of Florida
.DenyalJones
MTVMy;Commission
GG 352016
Expires07/04/2023