HomeMy WebLinkAboutFilled Land Affidavit l
PLANNING & DEVELOPMENT SERVICES DEPARTMENT .
Building&Code Regulations Division
COUNTY
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 j
FILLED LAND AFFIDAVIT
i
I,.the undersigned, am the owner of the following described property,
�S
(Parcel Id#/Legal escriptio Address)
for which I have applied to St. Lucie County for a Final Develop nt Permit. In
accepting this Final Development Permit, BP Number as °� I acknowledge
that as owner of the above described property, and in accor e 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.
j �
Property Owner�Name(Ple int)
Property O Date
3
STATE OF FLORIDA,COUNTY OF
� i
ACKNOWLEDGED BEFORE ME THIS �. DAY OF R�11 20
BY tC V(dWHO IS 6�NALLY KNOWN TO ME ❑(�OR WHO HAS
I � '
PRODUCED (— AS IDENTIFICATION. f
v V �
SIGNATURE Y PUBLIC TYPE OR PRINT NOTARY
bQ3q 1 SSION NUMBER
(SEAL)
S
Y '
Q'% ELLEN VAUGHN
�`�_State of Florida-Notary Public
SLCPDSD Revised 04/11/2011 0 Commission # GG 270079
i %F°FF�°P, My Commission Ex Tres
unn' Aetdddf 22 2®22
Js
I '