HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 DECEIVED
(772)462-1553
FF'R 0 4 2021
FILLED LAND AFFIDAVIT 99rmitting Department
S4 Lucie Counb/
I, the undersigned, am the owner of the following described property,
✓�3/ D )>C Zr,) V12: -1Z 3 W-5' /
(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 Numberc;16 - , 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.
7Prope5,�melease Print)
Property Owner Si&Are Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF y^ 2010
BY`-�4A Y1i/�'\V �I� lJ I �, WHO IS PERSONALLY KNOWN TO ME � OR WHO HAS
PRODUCED
TYPE OR PRINT NOTARY
AS IDENTIFICATION.
COMMISSION NUMBER �Y,p
KAREN S. NIELSEN
`1P U6��i
;State of Florid Y Public
Commission�07484
01
MY Commission Expires
June 12, 2022
SLCPDSD Revised 04/11/2011