HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 oum died
(772) 4624553 14000 @tarn v
FILLED LAND AFFIDAVIT 20z 9 r 1nr
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11 the undersigned, am the owner of the following described property,
(Parcel id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Develo ment Permit. In
accepting this Final Development Permit, BP Number 2161- 00 6, 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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Property Owner Name (Please Print)
roperty Owder Signature Date
STATE OF FLORIDA, COUNTY OF rl C�+\ o
ACKNOWLEDGED BEFORE ME THIS DAY Of_~�_ _,202-/
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By � n—Q-. � ��W'_)VHO IS PERSONALLY KNOWN TO ME ( OR WHO HAS
PRODUCED
SIGNATURE JFNOTARY PUBLIC_ - TYPE OR PR_JRFNOTARY
COM;vIISSION NUMBER
(SEAL)
OVA Notary Public State of Florida
:4 Mary M Allen
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SLCPDSD Revised0l/I II2011 My Commission HH 045562
'4o�n�° Expires09/23/2024
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AS IDENTIFICATION.