HomeMy WebLinkAboutFILLED LANDDocuSign Envelope ID: 82625453-0132-4112-B065-EDD33DD1C31A.
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34952-565'2
(772) 462-I553'
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1200 Bennett Road, Fort Pierce
(Parcel ld#!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.
Lucille Vandevere
Property Owner Name (Please Print)
Property Boner Sipature
12/6/2021
Date
STATE OF FLOPfDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _ _ � DAY OFX (YLbe --- . 2
BY A—UagC wfi -re—WHO IS PERSONALLY KNOWN TO ME (LJ) OR WHO HAS
OF NOTARY PUBLIC TYPE OR PRINT NOTARY
NUMBER
L=i.—
B� TsoN
MYCOMMISSION #GG212928
; EXPIRES:August28,2022
SLCPDSD Revised o4: I1120II Bonded Thru Notary Public Underwriters
AS IDENTIFIc vrION.