HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 C EH ED)
FILLED LAND AFFIDAVIT APR 13 2017
PERMITTING
St. Lucie County, FL
I,the undersigned, am the owner of the following described property,
(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 170LI- f'215, 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.
I Gcwra
Property Qkner Name( leas rint)
.Cl .
Property O Signa Date
STATE OF FLORIDA,COUNTY OF LQ
ACKNOWLEDGED BEFORE ME THIS 3 DAY OF 1 20`q
BY I� WHO IS PERSONALLY KNOWN TO ME C OR WHO HAS
PRODUCED . AS IDENTIFICATION.
a-IT
SIGNATURE-OP NOTARY PUBLI TYPE OR-PRINT NOTARY
COMMISSION NUMBER
KAREN S. NI7EN
Cor{SRAls)on FFM CommissionJune 12, 2
SLCPDSD Revised 04/11/2011