HomeMy WebLinkAboutFilled Land AffidavitJ
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
COUNTY 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,
I LAN -101- p141 - ow-l-t Owens Cobs uwiy- k A IZ 1 C, A-,
(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.
11;nck Mct�e;\I
roperty Owner Name (Please Print)
Prone l u* , . e ra"Wr Date
e
STATE OF FLORIDA, COUNTY OF, LLA ,1
ACKNOWLEDGED BEFORE ME THIS J DAY OF (A 2�,
BY 1 ef)Ck �� ` WHO IS PERSONALLY KNO ME t WHO HAS
PRODUCED
COMMISSION NUMBER
SLCPDSD Revised04/11/2011
AS IDENTIFICATION.
?V� 49Wi Yiblic'State of'Fl6rida
Danyel Jones,;
o` My commission GG 352016
'�Ojfe - Expires 07/64/2023
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