HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUII DING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
MCEI®®� FORT PIERCE, FL 34982-5652
�! (772) 462-1553
APR 15 2014
PERMITTING FILLED LANDS AFFIDAVIT
St. Lucie Countyy' FL
I, the undersigned, am the owner of the following described property,
% AY- I D.4 33 _ 2w _ ooc®I - �� l 1 q
(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 .1404- oo&* , 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.
Property Omifer Name (Please Print)
lfoperttqwner Signa Date
STATE OF FLORIDA, COUNTY OF 6 I • Ll>,- I g
ACKNOWLEDGED BEFORE ME THIS 1 'T DAY OF 1 i:zi L_ 20 I
BY 31 m my 16zR 1_I WHO IS PERSONALLY KNOWN TO ME _OR WHO HAS
PRODUCED
TT SIGNATURE OF NOTARY PUBLIC
G� �4�� R COM[vIISSIONNUMBER
SLCPDSD Revised 08/24/2010
AS IDENTIFICATION.
Aotop
TYPE OR PRINT NOTARY
(SEA..)
� lv'"••. ANNA E. SCHRADER
MY COMMISSION # EE 847629
EXPIRES: January 7, 2017
Bonded Thm Notary Public Underwriters