HomeMy WebLinkAboutfilled land affidavit PLANNING & 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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(Parcel I&ILegal 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 fbrther 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.
Property p r Name(Please Print)
A/1
Pr a er Signatur Date
STATE OF FLORIDA,COUNTY Or �
ACKNOWLEDGED BEFORE ME THIS DAY OF 20
BY WHO IS PERSO LL OWN TO ME( )OR WHO HAS
PRODUCED AS IDENTIFICATION.
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ral-le Id IA�I�IW
I URE 6FNO`l7XJTYPUBLIC
COMMISSION NUMBER � •o! ExNresApd20,2025
Bonded iM�Tray Fain Insuenae 8UQ"S",019
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SLCPDSD Revised 0411112011