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HomeMy WebLinkAboutPOWERS FILLED LAND AFFIDAVIT (1)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, ALBERT & STEPHANY POWERS (Parcel Id#/Legal 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. Property Owner Name (Please P int) op y er Signature STATE OF FLORIDA, COUNTY OF ST L u C✓ � -Q— ACKNOWLEDGED BEFORE ME THIS 29 BY 1 $-o h Cry � PRODUCED N v n SIGNATURE OTARY PUBLIC GG 330259 COMMISSION NUMBER 4/29/21 Date DAY OF APRIL 20 21 WHO IS PERSONALLY KNOWN TO ME ED OR WHO HAS GINGER P HESTER TYPE OR PRINT NOTARY (SEAL) AS IDENTIFICATION. A SLCPDSD Revised 04/11/2011 4 Notary Public State of Florida Ginger P Hester My Commission GG 330259 tar ' Expires 08125/2023