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,
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(Parcel Id#/Legal description/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 WELL 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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Proer TN e (Please Print)
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P ope veer gnatwe Date
STATE OF FLORIDA, COUNTY OF I nd i GQ n Q i V e r
ACKNOWLEDGED
�,�BEFORE ME Tuts -1 � DAY OF J"- ' - 1 20 2 1
BY . J eMn4 8 UchcU' an WHO IS PERSONALLY KNOWN TOME Q OR WHO HAS
PRODUCED FL D L AS IDENTIFICATION.
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SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
(3G -1 Lo9- coM111IsSIONNUMBER r° YP E CHRISTINA S. HOWELL
(SEAL) R.
MY COMMISSION # GG297262
01 EXPIRES: January 31, 2023
SLCPDSD Revised 04/11/20i 1