HomeMy WebLinkAboutFILLED LAND AFFIDAVIT - SIGNED PLANNING & DEVELOPMENT SERVICES DEPARTMENT
" "D Building & Code Regulations Division
` 2300 VIRGINIA AVENUE
Flow FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1 cn;- <> S•Ort-r►-N 7Ll J s_h/ —�i��-D 45t 1-SZ-i-
(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.
N ata C� 4.1kC.
Property Owner Name(Please Print)
NatclUCI CAstuL0 2/9/2022 7:50 AM EST
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF � Lu C i'�-
ACKNOWLEDGED BEFORE ME THIS DAY OF_ �^1 tX_s_(�J .20 '2--2-'
BY ��'�;��G � llU: WHO IS PERSONALLY KNOWN TO ME )OR WHO HAS
PRODUC D AS IDENTIFICATION.
Z
URE OF NOTAR L1C TYPE OR PRINT NOTARY
lU 00 COMMISSION NUMBER
f GANNON
MY COMMISSION#GG 914400
EXPIRES:,January 8
,2 24
Bonded T1w Notary Pubk t� OIIdB wrlm
SLCPDSD Reviscd 04/11/2011
Electronically Signed using eSignOnlinen`I Session 10:02034134-328f-42"-b$11-282a47cbd42a