HomeMy WebLinkAboutFilled Land AffidavitEi%% Ak L; C3
PLANNING & 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,
(Parcel Id#/Legal
S "K7y-%)
)n/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number Q j Q6,UJr0/,r4,4cjrnowledge
that as owner of the above described property, and in accordance f Yh 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.
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Property Owner P
(Please
S� IIn e
r Sig aturSZJ V Date
STATE OF FLORIDA, COUNTY OF q 1 IA"
ACKNOWLEDGED BEFORE ME THIS _-_ DAY OF CL 202
BY LA WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED < AS IDENTIFICATION.
Q 1°'d )narSc
eL�
TYI''E OR PRINT NOTARY
020 ZZ COMMISSION NUMBER
)LESSARD MORESHEAD
W COMMISSION # GG 98OW
EXPIRES. August 81 2022
Bonded Thru NOW Public Undenw km
SLCPDSD Revised04/11/2011