HomeMy WebLinkAboutfilled lands PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1,the undersigned, am the owner of the following described property,
33A A WX 60D I 0007 / 7,q(&b LE6EMD S -DR T.. P�,34G 0(,v
(Parcel Id#/Legal description/Add ess)
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.
Proper wrier N me(Please Pint)
. •'
.Property Owner r
a Date
STATE OF FLORIDA,COUNTY OF ST I JJ C l G
ACKNOWLEDGED BEFORE ME
THIS
��_DAY OF �_]�f 1'I 202
BY 1� SQ U`Y-g�►i/K AID WHO IS PERSONALLY KNOWN TO ME(�OR WHO HAS
PRODUCED ✓lam, iv AS IDENTIFICATION.
U"b aD',* IVIC s'T1X4 4e-,
SiG®N(A�TURE OF NOT Y PUBLIC TYPE OR PRINT NOTARY
-1 3 2 I COMMISSION NUMBER
a Notary
Public i rlaida
�'*�` " Nicole Aponte 9S32ts
MY commission,GG 1
4-oi j Expires 0510412024
SLCPDSD Revised 04/11/2011
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