HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
owe 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,
3404-501-0504-000-0, (4710 Elm Ave, Fort Pierce, FI 34982)
(Parcel ld#/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,1 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 farm,
adequate drainage off my property which will not adversely affect the immediate
community.
Jeremiah Cole
Prop ty Owner Name,#(Please Print)
Prop, Owner Si attire Date
STATE OF FLORIDA, COUNTY OF A, Lu L i &
ACKNOWLEDGED BEFORE ME THIS 1'S DAY OF _'A�I , 20 cam,
BY 0\ WHO PERSONALLY KNOWN T ME (ED) OR WHO HAS
PRODUCED n AS IDENTIFICATION.
NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR kRIYT NOTA Y
(SEAL)
PP F„a,,; JOYALIPPARD
'_° L Commission # GG 236838
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