HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
Luo gigs2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE,FL 34982-5652
(772)462-1553 APR 2 2 2021
FILLED LAND AFFIDAVIT �'arSt. Luc Department
St. Lucie County
I,the undersigned, am the owner of the following described property,
4 5�7f c
( areel Id#/Legal deseript' / ddress)
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 int)
operty Owner Signatur Date
STATE OF FLORIDA,COUNTY OF`5-�'• �.►JC\
ACKNOWLEDGED BEFORE ME THIS e�.a. DAY OF
BY b0.-4%N ?_A15\y S WHO IS PERSONALLY KNOWN TO ME ❑U OR WHO HAS
PRODUCED AS IDENTIFICATION.
BSIIGN`ATURE OF TARY PUBLIC TYPE OR PRINT NOTARY
eA%-\AeD&.%COMMISSION NUMBER
o< Yv�q�. DEANNA GIVE4S (SEAL)
`?/.'� � Notary Public-State of Florida
+ e`` Commission HH 086359
oFrl°o-` My Comm.Expires Jan 28,2025
Bonded through National Not
Assn.
SLCP