HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE aVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 OC-� 0 7 .,OZ1
FILLED LAND AFFIDAVIT I ST. Lucie County,_ P_ ernitt'nc
I, the undersigned, am the owner of the following described property,
oub- i kj %,j Ep- b �, -
IMILegal 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.
P�/l A C,� L. ,cam
Pro ert, er atn (Pleas int)
10 i — 2c27.
Pro Owner Signature Date
STATE OF FLORIDA, COUNTY OF '
i
ACKNOWLEDGED BEFORE ME THIS. DAY OF 20 Z
r_
BY � .�= )r- I(A WHO IS PERSONALLY KNOWN TOME Ca OR WHO HAS
PRODUCED
SIGNA
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
o av ap i
KAREN S. NIELSEN
,,State of Florida -Notary Public
_* *= Commission # GG 207484
or;
My Commission Expires
.June 12, 2022
AS IDENTIFICATION.