HomeMy WebLinkAboutFilled Land Affidavit I
I
PLANNING &DEVELOPMENT SERVICES DEPARTMENT
o Building &Code Regulations Division
2300 VIRGINIA,AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
I
FILLED LAND AFFIDAVIT
3�eJao �e:�n,cna�e. R,c�
I,the undersigned, am the owner of the following described,property, IIr>le-scx F( L(95[
2& 34 39 `��ly oF�BIZ oFN���K aFtJG Vcj
(Parcel Id#/Legal description/Address) 1 ZA
\,5 r w L— y.S'%c,,cvt) o T 3IF, 5
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1 1, 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 ad i ersely affect the immediate
community.
x P p rty Owner Name lease Pr' t)
Prope&`bw�SiViiature r Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF&12is 20
BY WHO IS PERSONALLY KNOWN TO ME L_)OR WHO HAS
PRODUCED I AS ID NTIFICATION.
t an ��Q/V�c�
SIGN E OF NO ARY P LIC TYPE O RINT NOTARY {1
�OMMISSIONNUMBER "'"vas"•., 1ANINETERRACCIANO {
Notary Public-State of Florida
Cor�gMn)GG 072932I
e' P 2021
My Comm.Expires
I.
SLCPDSD Revised 04/11/2011