HomeMy WebLinkAboutFilled Land Affidavit PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
RECEI` 7-:D AP; p � FJiI
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
13305 NW S,4,/wooO PcAc , PAL-M cMY 3K44o
L105-703-0033-000 -5 OW 91✓a&-?VolP86,7-30 Ldl zk o1-34$Q-7617)
(Parcel Id#/Legal 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.
Property (Please Print)
f—perty:yignalture Date
STATE OF FLORIDA,COUNTY OF Nl A/17/A)
ACKNOWLEDGED BEFORE ME THIS 2 y DAY OF MARL 14
BY�>r'{[c�sj1 H UANY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED 15-1 ID L M 1b10-7R 3-710-SV 3-0 AS IDENTIFICATION.
..�.w�
�Y:,;a c• DOREEN J.BUFFA
My COMMISSION#FF 928213
SIGNATURE OF NOTARY PUB —L/ TYPE OR P ,jVCY EXPIRES:January j.
Bonded Th,Notary
Public Underv+riters
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011