HomeMy WebLinkAboutFilled Land Affidavit - 7702 Deer Park AvePLANNING & DEVELOPMENT SERVICES DEPARTMENT
s
' = Building & Code Regulations Division
v 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
1)o] -(o05 ~ M)5-and-n
(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.
L." P9, ,- �t I L
Property,weer Name (Please Print)
:!! 70 1 67_� - - -15
Prop er lgnature Date
STATE OF FLORIDA, COUNTY OF S J 1.-V Q 6
ACKNOWLEDGED BEFORE ME THIS �(�) ___ DAY OF V1 s + , 20A:�_L,
By VY I i �— WHO IS PERSONALLY KNOWN TO ME Q�OR WHO HAS
PRODUCED
S1GjAT,VRMF
,[NnOTARY PUBLIC TYPE OR PRINT NOTARY
`OMMISSION NUMBER Marina Renom
Notary Public �SEAL)
State of Florid
d Commit HH014256
f Z Expires 6/24/2024
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.