HomeMy WebLinkAboutFILLED LAND AFFIDAVIT- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE.
FORT PIERCE. FL 34982-5652
(772)462-I553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel d#/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 , 1 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 pert -nit 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�er"'� iI�I R Property ONa e (PI se P int) ,p
rop y er S gl , it Date
s•rATE OF FLORIDA, COUKI'Y
ACKNOWLEDGED 131iP010; ME H IIS I DAY 01'
13Y l/ L N V1vY LGLO-WHO IS PERSONALLY KNOWN'I'0 MI: (1-:1 OR WHO HAS
PROD) fit) _ AS IDI.NTIFICA'HON.
5�
SIGNA'I UIIK,,I--:ry�UI- NOTARY PUt _I(: TYPE R PRNINK U'I'AIZYA
tp'l COMMIS'I NNUMBER
(SEAL)
SLCPDSD Revised 04/11/2011 1AR Cassidy Berger
r °� NOTARY PUBLIC
STATE OF FLORIDA
S Comm# GG973629
•AHOE r9�0 Expires 3/26/2024