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 own r of the following described p operty,
a� r1 �Wo 4pw F7- Ptera 3 ��
AR 1�
(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.
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Ite
STATE OF FLORIDA, COUNTY OF -kk C+� A
ACKNOWLEDGED BEFOR ME THIS DAY OF j rh 20 04=0 ,
BY WHO IS PERSONALLY KNOWN TO ME ❑(� OR WHO HAS
AS IDENTIFICATION.
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL) '