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,
(Parcel Id#/Legal
Address)
U
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.
W. Bryan Adams
;Owner Name Please Print)
Property Owner Signature
STATE OF FLORIDA, COUNTY OF St Lucie
Date
ACKNOWLEDGED BEFORE ME THIS DAY OF ✓J 20
BY W. Bryan Adams ��'
PRODUCED
QAJ
`SIGNATURE OF NOTARY PUBLIC
017099 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
WHO IS PERSONALLY KNOWN TO ME <D OR WHO HAS
AS IDENTIFICATION.
Hannah Moore
TYPE OR PRINT NOTARY
(SEAL)
iq °rid Notary Public State of FLornda
Hannah E Moore
q• My Commission HH 017o99
OF Expires 07101Q024