HomeMy WebLinkAboutFilled Land Affidavitr
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,
(Parcel Id#/Legal description/
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.
W. Bryan Adams
,2:;0wner Name Please Print)
Property Owner Signature 12 �� 2 I
Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS _36,—L DAY OF D�lx_�k I� Z0
BY W. Bryan Adams
_WHO IS PERSONALLY KNOWN TO ME E OR WHO HAS
PRODUCED
Rb nm
SIGNATURE OF NOTARY PUBLIC
017099
SLCPDSD Revised 0411112011
COMMISSION NUMBER
AS IDENTIFICATION.
Hannah Moore
TYPE OR PRINT NOTARY
(SEAL
REEI
S� a Fla�deoore
HH 0170992024