HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
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,
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number UIDIL- 015 b , 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 OwnerName (Please rint)
Property Owner Sign ire' Date;
STATE OF FLORIDA, COUN'rY 01, S • UAW
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ACKNOWL.I:DGED 13EI'ORf: MCi'rl I[S 225
DAY OF 120
By -WI 10IS PERSONALLY KNOWN TO MF (0) Oft WI10 I IAS
PRODUCED AS IDENTIFICATION.
GNATUI 1: I ItY PUBI C IYPI- Al tIN'I' N(�I'ARY
COMMISSION LIMBER
(SIiA1•)
oIaRV Cassidy Berger
SLCPDSD Revised04/11/2011 NOTARY PUBLIC
STATE OF FLORIDA
y Comm# GG973629
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