HomeMy WebLinkAboutFIlled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
.c Building & Code Regulations Division
2300 VIRUINIA AVENUE
FORT MERCE, 1'1, 34992-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
LOT V, Woek- y MUM
(Parcel Id#/Legal description/Address)
or
v-t ae 0-b )Z67
,cam L 'i lc7qS
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.
Property wrier Name (Please P i )
Prodrty Owner Si atur
q-21-Z/
Date
STATE OF FLORIDA, COUNTY OF 6 T C..�`C-
ACKNOWLEDGED BEFORE ME THIS �DAYOF
BY / WHO IS PERSONALLY KNOWN TOME (0)OR WHO HAS
PRODUCED ` C�) L AS IDENTIFICATION.
�AT4444Y PUB
ISSIO LR
SLCPDSD Revised 04/11/2011
Acc-r,�-e
TYPE OR PRINT NOTARY
a
llotary Public Stale of Florida
Janae(8*A60hampMy Ccmmission HH 024655
Expires 07128/2024