HomeMy WebLinkAboutFilled LandPLANNING & 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,
2310-502-0043-000-2
(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 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.
Renar HomesVl orningside) LLC
Pro erty O ef-Name (Pleasv'Print)
71
y
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF H &Y' T ( V)
ACKNOWLEDGED BEFORE ME THIS Oc. p DAY OF 4ock , 20,
BY OV S� m'� /Gil WHO IS PERSONALLY KNOWN ME OR WHO HAS
PR UCED
—YAJLAnd JZ, ,
SIGNA URE OF NOTARY PUB C
SION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
�v rv�i RHONDA S. ROWE
Commission # HH 122364
m e Expires May 19, 2025
(SEAL)
AS IDENTIFICATION.