HomeMy WebLinkAboutFILLED LAND AFFIDAVIT 607()
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
NSA2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the wner of the following d�scribed property,
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�98.3
(Parcel Yd#/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 2109-GO 1U 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.
Proper Owner Name(Please Print)
PY Ana
roperty Owner Signature Date
STATE OF FLORIDA,COUNTY OF �/1�
ACKNOWLEDGED BEFORE ME THIS ( DAY OF 2Q �,
BY?Dacbace-T)L•r! g! WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED ((( AS IDENTIFICATION.
SIGNATUR F NOTARY PUErLIC TYPE OR RUNT NOTAR
COMMISSION NUMBER
GARY DEMARS�{ AL)
* M16C0MMW10N.#HMHl51495
001 E OMM:August 04,2025
SLCPDSD Revised04/11/2011
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