HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENTSERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
R E C E V D OCT 3 -31017 FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
.531
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.
Madeci
Property Owner Name (Please Print)
- /o
Property 2vhapr Signature Date
STATE OF FLORIDA, COUNTY OF < `cam U"kt
ACKNOWLEDGED BEFORE M1 E THIS DAY OF DVJF� 20��
BY e� �t\Q,V\ WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED `kn (�LL UaJ f_r�Ma . V"
CCAV-.,-
SIGNATURE OF NOTARY PUBLIC
-1 (t'11 S) COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
SARAH GREEN
t . Notary Public - State of Florida
Commission # GG 037044
My Comm. Expires Oct 6, 2020