HomeMy WebLinkAboutFilled Land Affidaviti
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 MAR 18 1011
l
Permitting Department
FILLED LAND AFFIDAVIT St. Lucie Courrty
I, the undersigned, a' the owner of the following described property,
p 3 -006-7 - aZ� .-2--
(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. LucielCounty Land Development Code, I shall be responsible for assuring
adequate drainage so I that the immediate community WELL 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.
Name (Please Yrtnt)
Owner Signature,
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE MIE THIS \� DAY OF
3 0-2— 1
Date
VNa' - 20k,
BY-�5 qb0 % "0% J V ! WHO IS PERSONALLY KNOWN TO ME (0 OR WHO HAS
PRODUCED 'V L L- AS IDENTIFICATION.
16 Y,
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NO Y
DEANNA GIVENS
IN AX%S�OMMISSION NUMBER
arypublic.Stateof Florida
C
ommission # HH 086352025
Comm. car
hrough National Notary Assn.
SLCPDSD Revised 04/1 1/2011
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