HomeMy WebLinkAboutPeppard- Filled Land AffPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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,
2303-211-0025-000-5 /10117 Great Woods Dr. (lots 18 & 20) Fort Pierce, FL
(Parcel Idd/Legal description/Address)
for which I have applied to St. Luck 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.
David or Yvette Peppard
Property Owne Name (Please Print)
operty 0 Sagoature
c4- (a- at
STATE OF FLORIDA, COUNTY OF sa4ae0e2/
ACKNOWLEDGED BEFORE ME THIS / 2 DAY OF (2p42./ 20 .2/ .
WHO IS PERSONALLY KNOWN TO ME (0)0R WHO HAS BY 1,9 p p Pit
PRODUCED AS IDENTIFICATION.
/411424j Ellen ihiltp.o . kiikrt/ £1114 N11/114p/i."
SIGNATURES NOTARY PUBLIC TYPE OR PRINT NOTARY
&Cr 0 9 -93"M COMMISSION NUMBER
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