HomeMy WebLinkAboutFilled Land Affidavit _ ST. LUCIE COUNTY
' BUILDING & ZONING
2300 VIRGESTU AVENUE JUL11 1 2017
® FORT PIERCE,FL-34982-5652 PEPPAI I TI ytr
o 772-462-1553 St.
., (,aunty, FL
FLED-LANDSAFFIDAVIT--__ -.__--------- - ----
I,the undersigned, am the owner of the following described property:
(Tax 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.
J ,e, 000
Property Owner Name Prope Owner Signature Date
STATE OF FLORIDA,COUNTY OF-A
i
I
ACKNOWLEDGED B ORE ME THIS-_DAY OF 24a
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE 1'+ COMMISSION NUMBER
KAREN S. NIELSEN
•>ar avocy 1 ,5637
a� Commission It
FF
Commission Expires
Y 2, 201 8
June 1