HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 '
(772) 462-1553
JAN 21 2022
FILLED LAND AFFIDAVIT SrY. Lucie County, permitting
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal
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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.
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Pr Effy Owner Name. (Please Pi i11
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Property Owner. Signature: Date
STATE OF FLORIDA, COUNTY OF 0
ACKNOWLEDGED BEFORE ME THIS { DAY OF J VV 20_ ✓ '!
BY Ct�r C I / I I vUL J �J.. ,Ly WHO IS PERSONALLY KNOWN TOME (_) OR WHO HAS
PR UCED AS IDENTIFICATION.
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SIGNA R OF NOTAR P BLIC TYPE ORPRINP NOTAR
(SEAL)
SLCPDSD Revised 04/11/2011
011 14, , 'Cassidy Berger
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+STATE OF FLORIDA� I
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