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,
3505 S Indian River Dr, Fort Pierce, FL 34982 1 2426-311-0004-000-7
(Parcel id#/Lego; 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 pent 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 Owner Name (Please Print)
Property Owner Signature bate
STATE OF FLORIDA, COUNTY OF
tA
ACKNOWLEDGED BEFORE 14E THIS t 7 DAY OF At awl
BY
COMMISSION NUMBER
SLCPDSD I vAnd Wl 112011
Is
ME (a OR. WHO IIAS
AS IDENTIFICATION.
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* p� Notary Ptlbtir,. State of Florida
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MY oomm. Gores Oct. 29, 2024