HomeMy WebLinkAboutFILLEDLAND PLANNING & DEVELOPMENT SERVICES DEPARTMENT
e Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 4624553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(09 01 Foy + \A/et Ifn►n 4 / 1301 - b 12 ' 019 5- 000 - 9
(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
T04. 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.
sin a r, -
Property Owner Name (Please Print)
s� I� ogre o�/a9 �a0aI
operty Owner Signature �( I Date
STATE OF FLORIDA, COUNTY OF �-'-T LUC 1 L An -
ACKNOWLEDGED BEFORE ME THIS I -F— DAY OF i r" , 20 ZI
By _C�`'14.` --�• , / 1 ` WHO IS PERSONALLY KNOWN TO ME CEI) OR WHO HAS
=QDUCED \ 1 UL_ I '7 � 7 5 � Y ' �'1� �B� [� AS IDENTIFICATION.
SIGNATURE OF N AR P LIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
{?"' + SHANNONMIITLER
• �•a' • ` MY COMMISSION SGG2OU69
a'• p EXPIRES: June 11, 2022
"?St�it°�'� BOnE�011w WNk UndeixAtat
SLCPDSD Revised 04/11/2011