HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel
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.
k'a L-a-c ��
Property Owner N me (Please Print) l
Pr perry Owner Signature Date
STATE OF FLORIDA, COUNTY OF SY L oc� -ems
ACKNOWLEDGED BEFORE ME THIS 2,!q DAY OF �( y IIV 20,
BY
WHO IS PERSONALLY KNOWN TO ME (0 OR WHO HAS
PRODUCED �'I )� AS IDENTIFICATION.
•��
SIG14ATGRE-OV NOTARY PU5LI1r " ' TYPE OR PRINT NO Y
Comm ISSIO NUMBER
(SEAL)
SLCPDSD Revised04/11/2011
HEATHER BURFORD
UB�c�;State of Florida -Notary Public
:* *= commission # GG 183217
My commission Expires
°;,`,:�\` February 06, 2022