HomeMy WebLinkAboutFilled Land AffidavitPLANNING '& DEVELOPMENT SERVICES DEPARTMENT,.
T:OUNTY 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,
3327.-701-0018-000-4/POD,28 AT THE RESERVE LOT 15/84,18 BELFRY PL
(Parcel.IM/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 not liable to provide for,.: or maintain in any form,
adequate drainage off my property which will not. adversely affect the immediate
community. .
Property Owner Name (Please Print)
-LA - .?A
.Pro a wrier. Signature Date.
STATE.OF FLORIDA, COUNTY OF)4I,u CQ.C,
ACKNOWLEDGED BEFORE ME THIS DAY OF • 20_
BY WHO IS PERSONALLY KNOWN TO ME C. ) OR WHO HAS
P D CED� I /, _ AS IDENTIFICATION.
IGNATUR OF NOT Y PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER.
FARAD( R,NANDEZ
MY COMMISSIOR OF172419 .
EXPIRES October 28, 2018.
7) 39B-o153 FloridallotaryService.com
SLCPDSD Revised 04/11/2011