HomeMy WebLinkAboutFILLED LAND AFFPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRCiNIA AVENUE
FORT PIERCE. FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1. the undersigned. am the owner of the following described property.
931Ra • 507. 00AA * 000(2T
(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.
G
Propert (Please Print) Mme )
2jL0.j!L
Property er ure Date
STATE OFFLORI DA_ COUNTY OF 2 //
ACKNOWLEDGED BEFORE ME THIS �� DAY OF � .220
BY,JW,�Nb !�4!7D 7� 'HOO IS PERSONALLY KNOWN TO ME ( 1(7R WHO HAS
PRODUCED Ny ,.��% � L /Qa - „�`�a - O D ---2, AS IDENTIFiCA 1ION
S1Gh� E:RE (]F NOTARY PCRI_I(
/Q (�M1411551i1N Nt N-IBI:R
SLCPDSD Revised 04/11/2011
e� /' ,�• D, /C-,/
I YPF OR PRINT N01 AR)
t,^ai 1%!j._ '4-"dry PL. LAC stn a of hol{da
.. I -on A
My r,ornmr��inn G�3: �U1kti