HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND -AFFIDAVIT
I; the undersigned, am the owner of the following described property,
—f-71bb CARt TON ROAD
(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.
L a.rV-14 jV(v
Property Owner Na a Print
20 2 �.
Proper er Signature Dat
STATE OF FLORIDA, COUNTY OFF
ACKIJOWLEDGED BEFO �ME THINS I ` DAY OF .2004
BY amA A✓�-wK V a:2: WHO IS PERRSON .4NOWNTOMEMORWHOHAS
MRUCED ) L/ - --_ -- AS IDENTIFICATION.
OR PRINT NOTARY
COMMISSION NUMBER
rP- � Notary Public Stste or Florida
Nancy MimORIWrong
y y My Commission GG 913313
q Expim 09/1612023
SLCPDSD Revised 04/112011