HomeMy WebLinkAboutfiled land affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
a� Building & Code Regulations Division
2300 VIRGINIA AVENUE
PUR r PILRCE. I'L 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
o 311 D ,Son
(Parcel Id#/Legal description/Address)
for which 1 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.
_fir/o ,t r C 1'ef
Property Owner Name (Please Print)
P y Ow o r Signature
STATE OF FLORIDA. COUNTY OF
Date
ACKNOWLEDGED BEFORE ME THIS (b DAY OFAII'" 1 L l 20 -?— (
BY l WHO IS PERSONALLY KNOWN TO ME (0) OR WHO HAS
PRODUCED a(%%l5 AS IDENTIFICATION.
4t-t�� L"A:�o� & s-w)
SIGNATUkE OFF NN.►OjARY TPUBLIC TYP R PRINT NOTARY
-" 1�/ COMMISSION NUMBER
(SEAL)
Notary PublicAND State d Fkfnda
HEIDI ANDERSON
�4 My Comm,ssron GG 07,04S4
SLCPDSD Revised 04/11/2011 orw Exp�ros 04ft4=V4