HomeMy WebLinkAboutFilled Land AffidavitjI . 1
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
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,
(Parcel ld#/Legal descripdon/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.
GRBK GHO,Nleadowood LLC
Property Owner ame (Please Print)
Property 0 e cure Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS IN- DAY OF -LV\k. .20 21
BY William Handier WHO IS PERSONALLY KNOWN TO ME (Eb OR WHO HAS
PRODUCED
A - �Lk ULM—Z
SION�IATUR1E OFNOT PUBLIC
C4aU c110 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
�\A& f ' iL x.l I-e)�A
TYPE OR PRINT NOTARY
(SEAL)
,�. 0�le
OP Comm.W9249Z
Expires: October 22, 2023
� ,;,,p- Bonded Thru Aaron Notary