HomeMy WebLinkAboutFilled land affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
- Building & Code Regulations Division
2300 VIRCHNIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-I553
FILLED LAND AFFIDAVIT
1, the undersigned, aln the owner of the .fo llowing described property.
(Parcel W/Legal description/Address)
for which I have applied to Sc Lucie County for a Final Development Permit. In
accepting this Final Deve.l.opment Permit, IMP 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, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I farther 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.
Juan R Quinteros
Drape Owner Name (l'ieaser rint)
operty Owner Signature
4/6I2021
Bate
STATE OF FLORIDA, COUNTY OF St Lucie,
ACKNOWLEDGED II ORL f5 L .,iis 6 _ — _ ...._. DAY (11,--.April _.___ ....,_ _n_� 20 21 _,
t3Y Juan R Quinteros of IS 4ASONALI.Y KNOWN TO M (D) OR WHO I1A5
ED
AItY PUBLIC TYPE PIt PRINT NUTAKY
AS IDENTWICATION.
COMMISSION NUMBER
Sta Beltran
Y B* MWISS(M # GG29 M
��•� �� � 97, 2023
SLCPDSD Revised 041I i/2UI 1