HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-%52
(771)462-1553
FILLED LAND AFFIDAVIT
1, the and gned, am the owner of the following described property,
✓ wh
for whichhave 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.
Date
COUNTY OF -S 1 LAlk L 1 Z
ACKNOWLM BEFORE ME TIRE
BY 1 WHO IS PERSONALLY KNOWN TO ME(M OR WHO HAS
PRODUCED
SLCPDSD Rwind D4/1
AS IDENTIFICATION.
V11nal (,-f �qR $ �
TYPE OR PRIM'NOTARY
NUMBER
YEE
Flmda
12B04