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HomeMy WebLinkAboutFilled Land Affidavit `,. PLANNING& 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 owner of the following described property, 4502 501 0904 000 8 718 Nettles Blvd Jensen Beach, Florida 34957 (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. Barbara Kugler Property Owner Name(Plea a Print) Q&j Property Owner Signature Date STATE OF FLORIDA,COUNTY OF Saint Lucie ACKNOWLEDGED BEFORE ME THIS 04 DAY OF March 20 22 BY Baryara Kugler WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PROD fc, D da Drivers Licenses AS IDENTIFICATION. Autumn Burns SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY GG 248769 COMMISSION NUMBER UTUMN N.BURNS .. *: *4MISSION#GG 248769 r Qo ©(pims:Septemberl8,2022 •FOga:°••' BondedThmNotaryPublic!LwW*hero SLCPDSD Revised 04/11/2011