HomeMy WebLinkAboutFILLED LAND AFFPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 4624553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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 ibe above described property, and in accordance with Section
7.04.0 t(D), St. Lucie County I:and 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,
I. 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.
Date
OF FLORIDA, COUNTY OF dT. LLGGL�
ACKNO�W/LEDGED BEFORE METHS � 9 DAY OF /)Ifl
of Dn/
BY �dU/Lc—_� WHO IS PERSONALLY KNOWN_TO ME(1ZOR WHO HAS
PRODUCED
a
SIGNATURE OF NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/I I201 I
AS [DENT[F(CAT[ON.
TYPE OR PRINT NOTARY
(SEAL)
"""'° JOANNEWILL3
CommissonpGG272813
Ex ire'sFebruar 20,2023
•' ;pF[�4"" Bonded Thm Troy Un InsurenN 800.385.7019