HomeMy WebLinkAboutFilled Land AffidavitPLANNING & 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,
I�vi -�a8�os2q:�n�h-3
(Parcel IM/Legal description/Address)
for which I : have applied to St.. Lucie: County -fof: a Final Development Permit. In
accepting this Final Development Permits 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 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 Ply property which will not adversely affect the immediate
community,:
Propertywner.Name (P eas t
Prope weer Signature Date .
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF. ; 20
BY WHO ISTERSO ALLY. KNOWN TO ME OR WHO HAS
RODUCED ... A_ S IDENTIFICATION.
I AT OF NOT PUBLIC TYPE OR PRINT NOT Y
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11120.11