HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
® r FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described
(Tax ID/Legal description/ ds dress)
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.
SbrJAWD
o e , * dame �P pert i atu 4
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS - DAY O , 20� .
BY 1' WHO IS PERSONALLY KNOWN TONE OR WHO HAS PRODUCED
AS IDENTIFICA
SIGNATURE OF NOTARY0 TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC I=
SAMMANTHA N KONG
=•• ••: MY COMMISSION # D0966659
EXPIRES March 0.1. 2014
.sort,
(407) 399.0151
(SEAL)
kAQ COMMISSION NUMBER