HomeMy WebLinkAboutFILLED LAND AFFIDAVIT r
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
COUNTY IE Building& Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE,FL 34982-5652
(772)462-1553 S E P 0 2 2021
St.Lucie County
FILLED LAND AFFIDAVIT Permitting
I,the undersigned, am the owner of the following described property,
o L
(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 24 O V-6 0`j 2, 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 Owner Name(Please Print)
erty wner ignature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS / DAY OF ✓' 20 �"f
BY ��D (��� WHO IS PERSONALLY KNOWN TO ME 3 OR WHO HAS
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PRODUCED � �I,GCh l�rc' �S LAS IDENTIFICATION.
SIGINATURE OFF`NOTARY PUBLIC TYPE OR PRINT NOTARY
J COMMISSION NUMBER
tia�x�%• BP,#y*)ItALZACHER
%,p• `.• ��, Notary Public-State of Florida
Commission M HH 023005
My Comm.Expires Jul 23,2024
SLCPDSD Revised04/11/2011