HomeMy WebLinkAboutfilled land affidavitPLANNING & DEVKLOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRMNIA AVENUE
FORT PUCE, Fi, 34982-5652
(772) 462-155]
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel Id egal description/Address)
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.
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Pr, erty Owner Name (Please
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Property Owner signiature Date
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED I� BEFORE HI RE ME TS DAY OF
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BY � 1 AAA A � l f IS PER SONS OWN TO ME (El OR WHO HAS
PRODUCED
AS IDENTIFICATION.
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STGNAT NOT INr UBI1 TYPE OR PRNOTARY
COMMISSIONINER
(511)tl�ssidy Berger
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG973629
SLCPDSD Revised W11/701 I
Expires 3/26/2024