HomeMy WebLinkAboutFilled Land Affidavitf7
PLANNING & DEVELOPMENT SERVICES PEP.
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 Id#/Legal
8%)-�cCCVE
SEP 2 7 2019
ST. Lucie County, Permitting
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.
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Proppe�ee%rty,Owwnoner Name
eee((Please Print)'
Property Owner Signature Dat
STATE OF FLORIDA, COUNTY OF ✓"`
ACKNOWLEDGED BEFORE ME THIS /' DAY OF �Jq--LA 20
BY /U M QJ-L-U[ Ct.7'P 1I� C� r�(, HO IS PERSONALLY KNOWN TO ME LEI) OR WHO HAS
PRODUCED I �/T L-1 LZl
SIGNATURE OFNJbTARY PUBLIC TYPE OR PRINT NOTARY
(� COMMISSION NUMBER
SLCPDSD Revised 04/I1/2011
Notarization valid k�e ` y /
signature only,
not document content,
n
1'
(SEAL)
IDENTIFICATION.
,0 a4Dy cz,
ot'�cL, HASSNA SANASRIA
Notary Public -State of Flo,jed
Commisstor -- GG 340327
My Comm. Exaues JL. 28. 2023
Soncec through Nauor•a, %0tary Assn.