HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 JUL 2
2017
FILLED LAND AFFIDAVIT r . -PhI TTING
Et. Lucie County, FL.
I, the undersigned, am the owner of the following described property,
2303-211-0025-000/5 1795 Stonybrook Dr. South Ft. Pierce, FI. 34945
(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.
Kent Barding
Property Owner Name (Please Print)
Property Owner Signature
STATE OF FLORIDA, COUNTY OF Q�� ow-a4d_
06/28/17
Date
ACKNOWLEDGED BEFORE ME THIS a2 DAY OF20
BY Ji P Q��j2/ kfa WHO IS PERSONALLY KNOWN TO E OR WHO HAS
PRODUCED
&A4S"' LZI
SIGNATURE F NOTARY PUBLIC
t f 00 3137 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT N9TARY
(SEAL)
AS IDENTIFICATION.