HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1553
JAN ' 14 2022
FILLED LAND AFFIDAVIT St. Lucie county
Permbng
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal
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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.
Property Owner e (Pleas Print)
Property Owner Signature D to
STATE OF FLORIDA, COUNTY OF $-i Lv et-Q
ACKNOWLEDGED BEFORE ME THIS_ DAY OF�20aa
BY 1 A N�Nq S AnfN WHO IS PERSONALLY KNOWN TO ME � OR WHO HAS
PRODUCED F L AS IDENTIFICATION.
L l
SIGNATURE OF NO Y PUBLIC
ad63 COMMISSION NUMBER
SLCPDSD Revised 04/1 1/2011
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