HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building.& Code.Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL-34982-5652
(772)462-15,53
FILLED LAND AFFIDAVIT
I, the.undersigned, am.the owner of the following described property,
(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 hi accordance with. Section "
7.04A1(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.-.: . .
Prop caner Name (Pleas hit)
�v
P. ope4 Own r Si to
STATE OF FLORIDA, COUNTY OF C_�' ,_UC,�.'e,
ACKNOWLEDGED BEFORE ME THIS Y�1� DAY OF �Ci1i' 20N._,.
BY CA�PC� CUSS. WHO IS PERSONALLY KNOWN TO ME (✓rR'WHO HAS
PRODUCEDAS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL) .
SLCPDSD Revised:0 I1/2o1,+e e STELLA M. HUNTER S.TELt, A r1
o Notary Public - State. of Florida 3 Notary. Puy.. F,o,,da.
UUU Commission # FF 180552 Conim,:,•;,.:: r. 80552.
':0"' F�o� MY,Comm, Expires Jan.23, 20i9 � � My Cn i„ '3, 2019
� 'Bonded through National Mot ''''
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aryAssn. NptarrAttn;