HomeMy WebLinkAboutFilled Land AffidavitLucieRL
County; FL
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
aOSO WL,) Palm City, Fl 34490
(Parcel Id#/Legal
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 nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Scott Harala
Property Owner Name (Please Print)
- 14W— t s-
Property d5Wer Signature Date
STATE OF FLORIDA, COUNTY OF.
Broward
ACKNOWLEDGED BEFORE ME THIS 2-3 DAY OF�'i 20 16
BY Scott Harala WHO IS PERSONALLY KNOWN TOME OR WHO HAS
PRODUCED � n AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
J�kjjb COMMISSION NUMBER
SLCPDSD Revised 08/24/2010
TYPE OR
Brown
DF%YROWN
,,2ptP�:Y pye�n - j��n Co mis ion # FF 140607
T Expires November 4, 2018
Rd flQ Bonded Thru Troy Fein Insurance 800-385-7019