HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT
1011
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,
FAST r-ep 1 wr of 6 9y
-eq d.wood Lo
(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.
d 6 111M a ,/,d
operty Own N m (Please Print)
Property Owne ign Date
STATE OF FLORIDA, OUNTY OF
ACKNOWLEDGED BEFORE p lc 1E ME THIS DAY OF 4 rek 20
BY `}E `/'/ a L
A, (fj4d je i/ WHO IS PERSONALLY KNOWN TO ME CZOR WHO HAS
,490DUbfD AS IDENTIFICATION.
y
,P7 E OATOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
`)„v�i1r/, . Rebecca Dima (SEAL)
a-' y,4 r, commission 4 GG06 026
'�° Expires: January
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Bonded thru Aaron
SLCPDSD Revised 04/11/2011 "111 mq��