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,
(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
T04.01(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.
�i'Zabefti z d. pres��
Property Owner Name (Please Print)
Prop er Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWL DGED BEFORE ME THIS DAY OF 2CU � ;
BY E ONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED- AS IDENTIFICATION.
341�,aa
SIGNATURE OF(*OTARY1PUBLTC ae&E OR PRINT N,0TVRY
SLCPDSD Revised 04/11/2011
COMMISSION NUMBER
t
i
ANGELA M HUFF (SE
•�tPRY PV9f�4
41 Notary Public -State of Florida
# •_ Commission # FF 234730
My Comm. Expires May 27, 2019
°F F Bonded through National Notary Assn.