HomeMy WebLinkAboutFilled Land Affidavit r iscc��
PLANNING & 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,
1 5(�G5 aa,5r act C(34 t�i�✓c� FL
(Parcel Id#/Legal description/Address) Inc,I
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 21()5-C-'jM3, 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.
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Property a(PI ase Print)
perty er Signature Date
STATE OF FLORIDA,COUNTY OF lyldl n
ACKNOWLEDGED BEFORE ME THIS 23ro1 DAY OF �-e 20
BY � !�ICn I I WHO IS PERSONALLY KNOWN TO ME(�OR WHO HAS
T
PRODUCED AS IDENTIFICATION.
Belinda Santiso
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
;1M1:"t BELINDA gAftb
. Commission#GG
Expires July 080840
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SLCPDSD Revised04/11/2011