HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
o - - Building&Code Regulations Division
ME 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
APR 12 201?
FILLED LAND AFFIDAVIT PER:'Ii7Ti1YG
St. Lucie County; FL
I,the undersigned, am the owner of the following described property,
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(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 , I acknowledge
that as owner of the above described property, and in accords ce with Section
7.04.01(D), St.Lucie County Land Development Code,I shall be respopsible 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.
�7°e�c( Pe%ersen
Property Owner Name(Please Print)
Property Owner Signature Date
I�
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS AdY% DAY OF 20 ,� 7
BYK�A TAM 4 WHO IS PERSONALLY KNOWN TO ME,(,_ej.OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNA OF NOTA PUBLIC TYPE OR PRINT NOTARY
�� 7 COMMISSION NUMBER
(SEAL)
NY Catherine Ann Weinman
�• NOTARY PUBLIC
--,STATE OF FLORIDA
SLCPDSD Revised 04/11/2011 W.... '�Cornm#FF14i5934
T r� Expires 8/23/2018
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