HomeMy WebLinkAboutFilled Land Affidavit1
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VTRGTNTA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT JAN g 2021
St. Lucie County
Permitting
I, the undersigned, am the owner of the following described property,
1324 -Ao I-00
(Parcel Id#/Legal description/Address) 3y
60'1u-()A4 - 4e123iZ4 /
J*it-d R ere , F1. 3(145 i
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number Zl 11- 0 l 1 4-; , 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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Property Owner Name (Please Print)
2
Property Owner Signature J Date
STATE OF FLORIDA, COUNTY OF )T LtA F f &
ACKNOWLEDGED BEFORE ME THIS DAY OF �J 49. 20
BY WHO IS PERSONALLY KNOWN TO ME (M OR WHO HAS
PRODUCED i AS TDENTIFTCATION.
)TARY PUBLIC T
"&f� Notary Public State of Florida
COMMISSION NUMBER ;� ; Michael H Anderson
My Commission GG 309707
j®� w Expires 03/10/2023
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SLCPDSD Revised 04/11/2011