HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, 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 Development Permit. In
accepting this Final Development Permit, BP Number
acknowledge
that as owner of the above described property, and in accordance I 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 propy,
ert
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.
W. Bryan Adams
Owner Name Please Print)
Property Owner Signature
Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS I (o DAY OF LCj ZO Zl
BY W. Bryan Adams
WHO IS PERSONALLY KNOWN TO ME 0i OR WHO HAS
PRODUCED
�n �, AS IDENTIFICATION.
I r �,U DIU Hannah Moore
RY
(sIG'ATURE OF NOTAPUBLIC
TYPE OR PRINT NOTARY
017099 COMMISSION NUMBER
(SEAL)
iq`W'-% Notary Public Slate of Flores
Hannah E Moore
SLCPDSD Revised 04/11/2011 �7��P� My Commissron HH 017o99
a a Expires 0710112024