HomeMy WebLinkAboutFilled Land Affidavitj
�JV2 OG ST. LUCIE COUNTY
.,, BUILDING & ZONING
r 2300 VIRGINIA AVENUE
F FORT PIERCE. FL 34982-5652
�OR`O-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property_
.�Z&o I N• tAS —/ I )C'F. Qr ero e F-( 3 y y y
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, 1 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.
lot,_ U0
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF F ' e
ACKNQWLEDGED BEFORE ME THIS l _DAY OF DiCCi • 20 0 a
Bry^� r�i!i WHO 1S PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
f 0 ' 33V�3 - O - • D AS IDENTIFICATION.
SIGNATUFVOF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL)
6EATRIZ GOYCOCHEA
F' -
;r; IvtY COMMISSION # DD 691439
EXPIRES: July 2, 2011
Rf 1r¢� bonded Thru Notary Public Undenvriters