HomeMy WebLinkAboutFilled Land Affidavit 1
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
COUNTY
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT JAN 0 7 2022
5t.Lucie County
Permitting
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
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 Name(Please Print
20 2Z
Prop" DZe
STATE OF FLORIDA,COUNTY OF ��•�V `�
ACKNOWLEDGED BEFORE ME THIS DAY OF J a Y- 20 "11I
By Dd►i'I ew �L�S{y WHO IS PERSONALLY KNOWN TO ME(Q OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF N ARY PUBLIC TYPE OR PRINT NOTARY
Nas`� COMMISSION NUMBER :.��yr'i�e.,: DEANNA GIVENS s
?r°• �� Notary Public•State or=:orida
€a d o C@[9miaiprl t HH 086359
My Comm.Expires Jan 28.2025
Bonded through National Notary Assn
SLCPDSD Revised 04/11/2011