HomeMy WebLinkAboutFilled Land BUILDING&CODE REGULATIONS DIVISION
2300 VIRGINIA ANLIUE
FORT PIERCE,FL 34932-5652
(772)462-1553
FP EILLED
ILA
♦ �0771' { ( 1A 1 { I f
I,the undersigned, am the owner of the following described property,
*� l20 gD- 91 ? )V u 'S
(Parcel u!,.gag descr-mdaa/Address)
for which I have applied to St. Lucie County for a Final Development Pe_rni-t. In
accepting this Final Development Permit, BP dumber , 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 th►hat the 'immediate community .AFL NOT be adversely affected.
i urther ar nowledge that in gaming this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or naintain in any form,
adequate drainage of my property which will not adversely affect the immediate
cornmunittr_
ra 1IP tz Ire ss/e r
caner 1 ame _-c t)
_. Owner Signature Date
STATE OF FLORIDA,COUNTY OF L.U C / e
ACXNONVLEDGED BEFORE NIE THIS 3 ` DAY OF CIL rG /1 ZD l `-5
BY ,"Z-a d l p✓ Q r ems/PI' wHO IS PERSONALLY mgowNTo,I£ �oR WHO HAS
PRODUCED AS IDENTIFICATION.
"Z&A- ' O&-h G P
SIGNATURE OF NOTARY PUBLIC TYPE ORPRINTNMAaY
CE 19 LOG 4, coi a IIssioN NumBER-
(SEAL)
S-LCPDSD Revised 0824/3010