HomeMy WebLinkAboutFilled Land AffidavitPLANNING-& DEVELOPMENT SERVICES DEPARTMENT
Building &.Code Regulations Division
2300' VIRGINIA AVENUE
FORT PIERCE, FL.34982-5652
�f�IVC� (772) 462-1553
OCT U 6 HN FILLED LAND AFFIDAVIT
St. Lucie County
Permitting
1, the undersigned, am the owner of the following dcscribed property;
Id#/Legal description/Address)
for -which I Have applied to St. Lucie County for . -a Final Development Permit. In
accepting this Final Development -Permit, B.P�Number 1 acknowledge
that .as .owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land DevelopnientCode; 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 -fbr 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.
Prope y Owner Name (Please Print)
o 1 Ll /z-6 z.l
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF 57_' W01E_
ACKNOWLEDGED BEFORE ME THIS DAY OF �y1� 20
BY '?01bC3QI'LT "{P . (DjkL- (UO1--k WHO IS PERSONALLY KNOWN TO ME (E) OR WIIO HAS
Y PUBLIC TYPE OR PRINT NOTARY
MMISSION NUMBER
SLCPDSD Revised04/1 V20I I
AS IDENTIFICATION.
(). TONYA R. MILLS
CyNotarPublic-State of Florida
• Commission M GG 918275
-My Commission Expires
`'� October- 01, 2023