HomeMy WebLinkAboutFilled Land AffidavitIFILANNIINcG & DEVELOPMENT SIEIl WES DEPARTMENT
Building & Code regulations Division
2300 VIRGINIA AVENUE �
FORT PIERCE, FL 34982-5652
(772) 462-1553
JUL
IFffLILIED LAND AIFIFIIDAII'IC
1, the undersigned, am the owner of the following described properly,
aIles eiripgAGM/
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BF Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County hand 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 properly,
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.
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(Please Pri
Owner Signature Date
STATE OF FLORIDA, COUNTY OF +RV'# 6, jP
ACKNOWLEDGED BEFORE ME THIS DAY OF
BY W 5c, ii— j A k WHO IS PERSONALLY KNOWN TO ME (_,<) OR WHO HAS
P C D r/I
ISAS IDENTIFICATION.
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A URE OF NOTARY PUI3LTC TY OR PRINT NOTARY �—
COMMISSION NUMBER
(SEAL)
'tjiy ` k, ROCHELLE A. DURYEA.
MY COMMISSION # GG087812
SLCPDSD Revised 04/11/2011 EXPIRES April 04, 2021