HomeMy WebLinkAboutFilled land affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
COUNTY
- 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.
2203-122-0001-000-1/3 35 38 W 1/4 OF NE 1/4-LESS CANAL AND RD R/W- (43.83 AC)
(Parcel Id#/Legal description/Address)
189p&�Fhumapp F�d Ft Pierce 34945
for which I have applied to St. Lucie r a ina eve opment 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. 1 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.
e/ 1zlj t-/ (kr' u- S
Prop :Owner N e le a Print)
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED BEFfORE ME THIS DAY OF �J11" 4 20 2
By �J e� LVIO t e 5 _WHO IS PERSONALLY KNOWN TO ME (Q OR WHO HAS
AS IDENTIFICATION.
2��sT"�mr
ARY PUBLIC TVPF OR PRINT NOTARI
COMMISSION NUMBER
lic State d FbrREED
Ta Of IIIshley YIission HH 0512t4/0712024
SLCPDSD Revised 04/1 1 /201 1