HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RZ ECEIVED
FILLED LAND AFFIDAVIT ; NOV 10 2029
ST. Lucie County, Perinitting
I, the undersigned, am the owner of the following described property,
a2 3,9/-3'ol - o093-000-'7 10&50
€ a,e a4ps 0,0 3 5 E &tff0- 4a-r I I LC55.Ar -55 er;r 4 455 W
(Parcel Id#/Legal description/Address)
t-r:!r5 gF) R/kv 0.36/40 (64Y39)
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.
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Date
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STATE OF FLORIDA, COUNTY O L
ACKNOWLEDGED BEFORE ME THIS DAY OF 20,r,2—,
BNQ ( kf&if WHO IS PERSONALL KNOWI_O Mir (_) OR WHO HAS
ARY PUBLIC TYPE OR
NUMBER
(SEAL)
AS IDENTIFICATION.
a�• °off^ Notary Public State of Florida
SLCPDSD Revised 04l11/2011 Kaylin J. May
r 1� My Commission GG 906961
M1a* Expires 10/03/2023