HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
- o 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,
(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 f
community.
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Leslie Anderson,Vice President of Focus Homes,LLC of Florida
Property Owner Name(Please Print
rop ty Owner Signature Date
STATE OF FLORIDA,COUNTY OF BreVBrd
ACKNOWLEDGED BEFORE ME TIES �� DAY OFN/,4 120
BY Leslie Anderson WHO IS PERSONALLY KNOWN TO MF. ❑✓U OR WHO HAS
PRODUCED N/A AS IDENTIFICATION.
SIG TARY PUBLIC TYPE ORPRINT N 3 ^-
1HPY nJ
:=o.•••••�; REBECCAWEITZ
COMMISSION NUMBER .*: c. MY COMMISSION##HH 080345
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``` EXPIRES:March 16,2025
Li Bonded Thru Notary Public underwriters
SLCPDSD Revised 04/11/2011
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