HomeMy WebLinkAboutFilled Land 1 �4 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,
2310-502-(bo.L5_ppp_O
(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.
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Property Owner e-(�ease Print)
lIse F-A►r-b e,! 7 • ' 'o�
rr ppeerty Owner Signature (3a-0-La-+-0 Date
rv'iYzit,¢.�
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS .G-� DAY OF 20 Z
BY I SA M. )Fi-0 WHO IS PERSONALLY KNOWN TO ME LJ OR WHO HAS
PRODUCED AS IDENTIFICATION.
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SIGNAV,IaE PF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
RHONDA S.ROWE
ConfrWW#HH 122364
�, ae Expkas May 19,.2025
9TF pp�,oQ� bonded Thru Budget Notary Ser*m
SLCPDSD Revised 04/11/2011