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,
i 1a000a3000G7 ZL zo, eve✓.Doi,ok
Id#/Legal description/Address) `G� ��yh ?( be.
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.
✓it/ /5
Owner Name
Owner Signature Date .
STATE OF FLORIDA, COUNTY OF
BEFORE ME THIS DAY OF
I WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
SIG/N�IA,TURE OF NOTARY PUBLIC
`/ &� COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
Cz
i rog
TYPE OR PRINT NOTARY
(SEAL)
a
"Notary Public.StRtq of Florida
Patricia-K"CoUims
My Commission GG 248672
Expires 08/24/2022