HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
BUILDING&CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34952-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
- I, the undersigned, am the o ner of the followingdescribed property, 7—Z Z
�Cc11 l0 G6r7�� ?fit-/ �6 y.v /7 2—
9S/ f SA4
(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.
GL `I'1 C. ���-✓
Property Owner a ae(Please Print)
Property Owne a e Date
STATE OF FLORIDA,COUNTY OFllvn
L/
ACKNOWLEDGED BEFORE ME THIS �2 DAY OF 20
BY W/I I�ti !�/ �C?nd'kP✓ WHO 1S PERSONALLY KNOWN TOME "�"OR WHO HAS
AS IDENTIFICATION.
I. -URE rARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
,,NI"TFltl Rebecca 0ima
Commission#GG060876
uj� Expires:January 9, 2021
SI_CPDSD Revised 08/24/2010 ��' ......
... bonded it>N Aaron Notary
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