HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code .Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1553
NOV 1.3 2020
FILLED LAND AFFIDAVIT Permitting, Department
St, Lucie County
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I, the undersigned, am the owner of the following described ro erty, Le I 3 J, �yd8
'C� saAv% 165 Tee+oS Avl7 ,NorAh 330 -Fe,-4 cam- xf, Easy- described
�k o�-10�9 I�locka, S�G�,o,na5
`TownsVarcel
3b �0u+17 Ran y0�as�,l'lc� ,A1o.�,c 5-4-. L'uc;e.f,clr s r�(or ,e ��V1A351
Id#/Legal description/Address) Itc vtaA es (,OU,7 I"•/j ��Qr«(a
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.
ite
STATE OF FLORIDA, COUNTY OF S �- L � "-
ACKKNyOWLEDGED BEFORE ME THIS \ ) DAY OF `v 6y 20ad
BY E\ �,11�u �.�� �d LJ J\ WHO IS PERSONALLY KNOWN TOME CobOR WHO HAS
PRODUCEDL �p L
SIGNATURE OF NOT Y PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11 /2011
AS IDENTIFICATION.
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