HomeMy WebLinkAboutFilled Land Affidavit i
I
PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
• �l 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
i
I,the undersigned, am the owner of the following described property, j
/3ot _6o ^ ooyy -o0m-�6 boy [��%,J 'Avt,%,e F� , FL-
(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,
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 Owtl r Name lease Print)
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Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF 51- `-t-,L fr�
ACKNOWLEDGED BEFORE ME THIS�_DAY OF
BY rn'A UQ k VS( WHO IS PERSONALLY KNOWN TO ME COOR WHO HAS
PRODUCED L O AS I DENILFICALHON.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOT Y
12 MISSION NUMBER
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Ootober 22,2022ire{Is
SLCPDSD Revised 04/11/2011