HomeMy WebLinkAboutFilled Land Affidavit PLANNING & 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,
Yd/ v 1 f , Gc�
(Parcel Id#/Legal description/Address) �or ��� -c DC`l
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.
xer� 7`O sue!
ACT Property Own ;Name ease Print)
erg/ttin 2021 �
St 4Uc e eP!nt/117 ent operty Owner Signature Date
STATE OF FLORIDA,COUNTY OF '
ACKNOWLEDGED BEFORE ME
THIS DAY OF 0--J 20
BY J I`] WHO IS PERSONALLY KNOWN TO ME(0 OR WHO HAS
PRODUCED �✓ ✓ AS IDENTIFICATION.
YQAV
SIGNATURE OF NOTARY LIC TYPE OR PRINT NOTAR
MMISSION NUMBER
,t) ELLEN VAUGHN
a9 State of Florida-Notary Public
__. Commission # GG 270079
MY Commission Expires
()6tef38r 22, 2929
SLCPDSD Revised 04/11/2011 :----- —