HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
�,LINTY 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,
(Parcel description/Address)
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 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.
z4o�, 1"el
Pro erty Owner Name(Please Print) -71, /2z
'14r perty Owner i tur Date
A —46
STATE OF FLORIDA,COUNTY OF . (�U C�
ACKNOWLEDGED BEFORE ME THIS�1, DAY OF ���,20 �I
BY S&j rl g- \�__ � E(I )oRWHOHAS
PROD ED r " V`G� 'Ucew Cc AS IDENTIFICATION.
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SIGNATURE ICI OF/,N, Y PUBLIC TYPE OR PRIM N TARY
O1-3V/ 0 MISSION NUMBER
<��a�i KARINA J.ARR:0yo
Notarxnwk)•stateida��' Commission M HH 41-1r!ti My Comm.Expires J24ed through National Nssn.
SLCPDSD Revised 04/11/2011