HomeMy WebLinkAboutFilled Land AffidavitIf
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA,AVENUEi
FORT` PIERCE, FL. 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
-1, the undersigned, am the owner of.the. following described property,
for which 1 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
7.04.0-1(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 ineither obliged nor liable to provide for. or maintain in any form,
adequate drainage off my property which will. not adversely affect the immediate
community. A
iWd AVA&� '
Property Owner NApoleAse Print)
Date
s'rAT1i OF FLORIDA, COUNTY OF Q r�Th
ACKNOWLEDGED. BEFORE ME THIS 11 `_ r DAY OF ��"( 20 G� .
BY 1A✓I G • M r-��NWTIO IS PERSONALLY KNOWN 'I'O ME (El OR WHO HAS
G
AS IDENTIFICATION.
1 1`'1l.IC ( I
r �Ftd LIC 'TYPE OR PRINT NOTARY 1
COMMISSION NUMBER'
(SEAL)
ao�PaY P�Kaylene A. McKoy
State of Florida
SLCPDSD.Revised 04/11/2011 ,g My Commission Expires 12110/2017
� * OP F,.°Q Commission No. FF 75463