HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRii1NIAAVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
Ca w�Oti
I, the undersigned, am the owner of the fol wing describe roperty, 1g1L#. 23 d —00V! oD0l
.. �s��o �4 ►�.s tires
(parcel Id#/Legal descripEianJAdcTress) 19P I &I C28
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 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, N-- . %C
C,DI �L a C t�ry O� r�
IV j
Property Owner Nam e Print)"
Property Own at e at
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS � � DAY OF l7 4 tom✓ 20)L .,__,
1 WHO IS PERSONALLY KNOWN TO ME 11f1
OR WHO HAS
BY �R'���� �
PRODUCED , l `� tf AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
;v a& . SANDRA L BRAWN
Notary Public • State of Florida
SLCPDSD Revised 04/11/201 I .;��; Commission # GG lt147�
av� My Comm. Expires Jun 1L, 2024
Bonded through National Notary Assn.