HomeMy WebLinkAboutFilled Land Affidavit - 8005 Winter GardenPLANNING & DEVELOPMENT SERVICES DEPARTMENT
s . Building & Code Regulations Division
2300 VIRGIN A AVENUE
FORT PIERCE, FL 34982-5652
(772)462-I553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(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.
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
St Lvu-e.,
ACKNOWLEDGED BEFORE
��ME�THIS k � J DAY OF � l�Y LJY 1 , 2d
�/
BY L A- �[ ) P-aCJi O /, I 1 T WHO IS PERSONALLY KNOWN TO ME ([R� OR WHO HAS
PRODUCED
03 1 DIV# I I a RL-If 1Csf7.�
j'Y1lY1CJ� o m
SIG T NOTARY PUBLIC TYPE OR PRINT NOTARY
Z, I&OMMISSION NUMBER
I Marina Fienom
t Notary Public (SEAL)
State of Florida
COr1 M# HH014256
Expires 6/24/2024
SLCPDSD Revised 04/11/201 I