HomeMy WebLinkAboutFilled Land Affidavit- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
l j Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772)462-1553
FEB 17 r y 2
._.FILLED LAND AFFIDAVIT
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
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(Parcel Id#!Legal description/Address)
for which I have applied to St. Lucie County fora 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.
Wayne Andersen
operty Owner Name (Please Print)
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Property Owner S ature
Date
9-2-21
STATE OF FLORIDA, COUNTY
ACK OWLEDGED�FOPE ME THIS. _DAY OF
BY WHO IS PERSONALLY KNOWN TO ME (_j OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PIWLIC
V COMMISSION NUMBER
SLCPDSD Revised 04/112011
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TYPE OR PRINT NOTARY
;;SPY?u FRANCES DONZA
„ MY COMMISSION # HH 111471
" • off: EXPIRES: July 27, 2025
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'•.FOp F�R•� Bonded ThN Notary Public Underwriters