HomeMy WebLinkAboutfilled lands _ PLANNING& DEVELOPMENT SERVICES DEPARTMENT
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 propert
2326-600-0117-000-2/CREEKSIDE PLAT NO.1 (PB 55-12)LOT 112(OR 4132-956u 3112 Yellowstone Cir
(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 2203-0317 , 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.
Pr er Name P Print)
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Property Owner Signa a Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS� _DAY OF "a'r Cl"
BY F L- DL , p WHO PERSONALLY KNOWN TO ME(�OR WHO HAS
PRODUCED F l-TX- S&50 0 yv 4- -1J 0 AS IDENTIFICATION.
SIGNATURE OF NOTARYPUBLIC TYPE OR PRINT NOTARY
hf�" o COMMISSION NUMBER
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Notary Public
State of Florida
Comm#HH226508
SLCPDSD Revised 04/11/2011 EXplm 1/27/2025