HomeMy WebLinkAboutFilled Land PermitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE _RE C_ET VEf1
FORT PIERCE, FL 34982-5652
(772)4624553 OU. 0 7 2021
FILLED LAND AFFIDAVIT
ST. Lucie county, Permitting
I; the undersigned, am the owner of the following described property,
(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
T04.0I(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.
C,T. L_g 0 - Foti. LA un44w W j
Property Owner Name (Please Print)
b 2021
Properly Owner Signature Date
STATE OF FLORIDA, COUNTY OF V T, UA C,( e—
ACKNOWLEDGED BEFORE ME THIS V/ DAY OF �O 1 / - , 20 2�
BY 9020 D • C*WtAA0 LJt%A WHO IS PERSONALLY KNOWN TOME W OR WHO HAS
Tom .K. U [9z
TYPE OR PRINT NOTARY
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
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