HomeMy WebLinkAboutFILLED LAND AFFIDAVIT PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 RECEIVED
(772)462-1553
JUL 19 2021
FILLED LAND AFFIDAVIT St.Lucie County
Permitting
I,the undersigned, am the owner of the following described property,
2(�
(P cel al description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number a'�c 1-ds3 , 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.
rope Owner Pa 1ease.Print '
'111-
roperty Owner Sign ture Date
STATE OF FLORID ,COUNTY OF'*,
ACKNOWLEDGED BEFORE ME THIS DAY OF � 20�,
BY WHO IS PERSONALLY KNOWN TO ME 11:3)OR WHO HAS
PRODUCED V `D AS IDENTIFICATION.
SIGNATURE OF NdYA.R.Y PUBLIC TYPE OR P VENS
pEANNA Gi
Y Pu•. State of Florida
1�,WfVe-a COMMISSION NUMBER ti Bv:. Notary Pubiic HH 086359
<`: Commission 26 2025
Tres tan
of °o-I MY Commha �Notary Assn.
""'Bondedthroug
SLCPDSD Revised04/11/2011