HomeMy WebLinkAboutFilled Land Affidavit RECEIVED
PLANNING&DEVELOPMENT SERVICES DEPARTMENT APR 12 2021
Building&Code.Regulations Division Permitting Department
' 2300 VIRGINIA AVENUE St. Lucie Countv
FORT PIERCE,FL 34982.5652 -
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned,am the owner of the following described property,
(Parcel IM/Legal descriptioa/Address) J
for which I have applied to St. Lucie County for a Final Development Permit. 5-7
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.
Ar,-5JbP&-,- A.
Property Owner N, � ease: _- - -
o" Owner Signature Date _-
STATE OF FLORIDA,COUNTY OF . L yG,!>;
ACKNO WL DGED BEFORE ME THIS { DAY OF ;20 2 1
BY P l f Mk - V0 �e to WHO 1S PERSONALLY KNOWN TO ME(El OR WHO HAS
PRODUCED T�OP! EX. Dv�VUS L ►&--o-C:6 AS IDENTIFICATION.
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SIG/N�ATU F NOTARY PUBLIC TYPE OR PRINT NOTARY "V Z5o 1 COMMISSION NUMBER
(SEAL)
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My t;ommhlon Expires 04(R021
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