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,
(Parcel Id#/Legal description/Address)
FL W6A
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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Propert er ame lease rint)
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STATE OF FLORIDA, COUNTY OF.
S+i-Lkc�cl
-3o - 2021
Date
ACKNOWLEDGED BEFORE ME THIS n (3 c) DAY OF V 20
BY I 1 I r1 '�`' WHO IS PERSONALLY KNOWN TO MR WIIO HAS
PRODUCED
SI'GNl AT E OF � NOTARY PUBLIC
H Za— OMMISSION NUMBER
SLCPDSD Revised 04/11/2011
-A I ryA Duarez
TYPE OR PRINT NOTARY
(SEAL)
AS IDENTIFICATION.
;: 9' " ALMA JUAREZ
Notary Public - State of Florida
Commission b HH 105480
My Comm. Expires Mar 17, 2025
Bonded through National Notary Assn,