HomeMy WebLinkAboutFILLED LAND AFFIDAVITDocuSign Envelope ID: OCE438FA-374C-47AA-8D7B-A69199F94E5D
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
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 filrther 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.
Nadine T. Roe William Gee Roe III
P 8�d'JIioS�bud pr Natne (Please Print) Doouftnsdby:
I1�lil�iawt Gc,l, I�t, Ill 11/4/2021
ro e1 Signature "' Date
STATE OF FLORIDA, COUNTY OF�. LuCI. e,
ACKNOWLEDGED BEFORE METHIS
� DAY OF ��� 20�,
BY VL 1 1 �Y� C� WI-10 IS PERSONALLY KNOWN -1.0 NIF, ) OR Wt[U HAS
PRODUCED
[GU&=. W34-
RG OF NOTARY I31 LIC
COMMISSION NUiVIBFR
SLCPDSD Revised 04/1 1/201 1
AS IDENTIFICATION.
N wafl�
TYPO UR PRINT NOTARY
(SEAL) `\\PJ0`1EE
1/1,
O� 18, 2p'�s•,
2
�#HIi188258;
�j�9,9 ' :ugh 1 s� 5�;�:v' � • �����
N
\`\``