HomeMy WebLinkAboutFILLED LAND AFFIDAVIT PLANNING & DEVELOPMENT SERVICES DEPARTMENT
COUNTY
Building& Code Regulations Division
2300 VIRGINIA AVENUE FRE C E I V E D
FORT PIERCE,Fl,34982-5652
(772)462-1553 S E r 2 9 21
FILLED LAND AFFIDAVIT ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
431.1 - ?of- ". = -s
(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
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,
g �' g
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.
A1911W& 'a `
Property OwnVT
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Property ign ure Dat
STATE OF FLORIDA,COUNTY OF '4
NQ
ACKN,IOW EDGED B FO ME THIS OF ,20� ,
BY IC��I &�W".kY
tERSONALLY KNOWN TO ME(II)OR WHO HAS
PRODUCED AS IDENTIFICATION.
i
SIGNA URE OF molrlfty PURLic TYPE OR PRINT NOTARY
COMMISSION NUMBER
.�
KAREN F. NIELSE
=o to of Flor da-Notary Public
Commission # GG 207484
�,iv Commission Expires
i ne 12, 2022
I SLCPDSD Revised 04/I 1/2011 ''"`