HomeMy WebLinkAboutFilled Land Affidavit CompletePLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
L the undersigned, am the owner of the following; described properly,
2302-601-0027-000-3 / 1530 PINEBURKE LN
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. J'n
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04601( D), Si. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NUT 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 anv firm_
adequate drainage off my nronerty which
community4,
Properly OW�ewr Name t]�Ws.
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er Signature
STATE OF FLORID Al COUNTY
will not adversely affect the immediate
ACKNOWLEDGED BEFQRE ME THIS � DAY OF t/ ' t _ 20
BYjei"o 14C --
WHO IS PERSONALLY KNOWN TO ME (1:1) OR WHO HAS
ODT
ST NATURE OF NOY PUBLIC
"[W)4c"CMMISSION NUMBER
SLCPDSD Revised 11 1 '1
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TYPE OR PRI
NOTARY
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AS IDENTIFICATION.