HomeMy WebLinkAboutGraviee Filled 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,
1336-333-0003-000-9 2050 North King HW Ft Pierce Florida 34951
(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 sball 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.
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Propoltty t er Name (Please Prim)
( f 7%20Z/
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF � [�
ACKNOWLEDGED BEFORE ME THIS DAY 20�
94
BY IL6S-4!�L` aVA\ � WHO IS PERSONALLY KNOWN TO ME (aL OR WHO HAS
PRODUCED �OTLARYPUBLIC
�%AS IIDENTIFICATION.
Tea-SIGNATTUREOTYPE OR PRINT NOT Y
COMMISSION NUMBER
PENNYTRA
Notary Pubic -S.-1 Iorida
commission = GG 1 r 703
My comm. boAs Aug E.2021
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SLCPDSD Revised 04/11/2011