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,
Q1n-Q 4c& ,� -unl bn e L r� i O-r con e U-4
(Parcel IM/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.
BRIAN-W HESTER
Property Owner Name (Please Print)
z 3v Z�
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF OJTL' 1 Q
ACKNOWLEDGED BEFORE ME THIS DAY OF C 20 aE
BY&Ii3n. gPz5A et- WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
A.
SI NATURE NOT TYPE OR PRIW NOTARY .
in
SLCPDSD Revised .04/11/2011
NUMBER
(SEAL)
•. KASEY M GOFF'
'v Notary Public - State of Florida
Commission B HH 072730
My Comm. Expires Jan 24, 2025
Bonded through National Notary Assn.