HomeMy WebLinkAboutFILLED LAND AFFIDAVIT 10-21-21& DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 O C T 21 2021
FILLED LAND AFFIDAVIT sT. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
(Parcel Id# Leg I description/Addr s)
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. LucieCounty 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.
Sarah P Aackson ✓
Property 0�vner Name (Please Print)
10-20-2021
Property caner Signature Date
STATE OF FLORIDA, COUNTY OF ^�` j,p
ACKNOWLP�DGED BEFORE M THIS _ DAY OF ®� �Q r �/ �-y . ZO
BY V— IS PERSONALLY KNOWN TOME ) OR WHO HAS
PRODUCED AS (IDENTIFICATION.
SLCPDSD Revised
F)FY- PUBLIC TYPE OR PRINT NUI AKr
COMMISSION NUMBER
(SEAL)
�pav ^:Melaniete of Florida
+° erG 926292or23
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