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HomeMy WebLinkAboutFilled Land AffidavitPLANNING & 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, W� �o l®�3 -a©� -S ��a A-Ve�w�i Foy �- �o`e/ee. FL 7`/ (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 7.04.0l(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. Owner Signature STATE OF FLORIDA, COUNTY OFT a ai Date ACKNOWLEDGED BEFORE ME THIS DAY OF �l9 VI P , 201, BY WHO IS PERSONALLY KNOWN TO ME do --)OR WHO HAS D � PRODUCE �f+.A� c AI53 `(012)1- (00- 529 'd I ' AS IDENTIFICATION. 4SIA605F-60T&KRYPT`JBLICp r—� ��(' - t - COMMISSION NUMBER SLCPDSD Revised 04/11/2011 ob% n L &w TYPE OR PRINT NOTARY (SEAL) 4014 Notary Public State of Florida Robin L Bowen My Commission GG 298212 or w Expires 021o412023