HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT SEP 0 1 2021
St. Lucie County
Permittino
I, the undersigned, am the owner of the following described property,
1 32,2 Z-11— ovo( — VDV 6
(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.
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Proper O er ame (Please Print)
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Pr er Owner gnature Dat
STATE OF FLORIDA, COUNTY OF
ACKkqWLEDGED 11FIpjAll DAY OF 20,
BY j WHO IS PERSONALLY KNOWN TO ME E]) OR WHO HAS
PRODUCED TL 1 _ n AS IDENTIFICATION.
ARY PMLIC I — TYPE OR PRINT NOTARY
COMMISSION NUMBER
;t Yo1, KAREN S. NIELSEN (SEAL)
`=o tate.of Florida -Notary Public
_� v= Commission # GG 207484
i9f p My Commission Expires
,,OFf`� June 12, 2022
SLCPDSD Revised 04/11/2011