HomeMy WebLinkAboutFILLED LAND AFFIDAVIT z)7
== -= PLANNING &DEVELOPMENT SERVICES DEPARTMENT
• Building &Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 RECEIVED
(772)462-1553
AUG 0 4 2021
FILLED LAND AFFIDAVIT St.Lucie County
Permitting
I,the undersigned, am the owner of the following described property,
_�3 � D0- -& 07 -DD 6 -D
(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 V/09--67-7/ I acknowledge
-that as owner of the above described property, and in accordance with Section
7.04.a 1{D), St. Lueie County Land Development Code,I Mall be-responsible for aassur ng
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 Print)
. Q 0,M s
Property Owner Signature Da e
STATE OF FLORIDA,COUNTY OF ST C I�LZ
ACKNOWLEDGED BEFORE ME THIS �UG US
DAY OF 20
BY (-(/
IS PERSONALLY KNOWN TO ME 11-:3 OR WHO HAS
PRODUCED /—L AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTA
RY
2 5f/ OMMISSION NUMBER
(SEAL)
q��pSARYgsso' Dustin G.Beard
NOTARY PUBLIC
SLCPDSD Revised 04/11/2011 0 o STATE OF FLORIDA
Comm#GG259194
•�'I'C 19�� Expires 9/17/1022