HomeMy WebLinkAboutFilled Land Affidavit 1�
$., -- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIER j LE D
462 155382-5652 R E e"E I V
FILLED LAND AFFIDAVIT NOV 2 12017
PEr;'lITTIRIG
St. Lucie County, FL
I,the undersigned, am the owner of the following described property,
(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
7.04.01(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.
A>\v\Q, � � N
Property Owner Name(Please Print)
o erty Owner Signature Date
STATE OF FLORIDA,COUNTY OF ,L
i
ACKNOWLEDGED BEFORE ME THIS Q DAY OF p�O V. 20 T r
BY`\() WC, LJ �!M WHO IS PERSONALLY KNOWN TO ME L1—:-1);IOR WHO HAS
PRODUCED L AS IDENTIFICATION.
SIG ATURE OF NOTARY PUBLI TYPE OR PRINT NOTARY
COMMISSION NUMB arrrrrr„'
,�` •*°° . KAREN S. NIELSEN
Commission# FF 115637
.r My Commission Expi(9IsAL
June 12, 2018
SLCPDSD Revised 04/11/2011