HomeMy WebLinkAboutFilled Land Affidavit 2-16-16ACKNOWLEDGED BEFORE ME THIS
SLCPDS]
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE _
FORT PIERCE, FL 34982-5652 ,, " `] "V7�'
(772) 462-1553 F2 E,
MAR 10 2016
FILLED LAND AFFIDAVIT PERPA117ING
St. Lucie County, FL
I, the undersigned, am the owner of the following described property,
2#d5 - 7b':�� - 6Fb'N-
(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.
EN DASSA)
Property Owner Na zabe Print)
Property er Signature Date
STATE OF FLORIDA, COUNTY OF c1 f / Tmal
�h C
' DAY OF J0-- - 20 ) ,
WHO IS P RSONA E ( ) OR WHO HAS
kTION.