HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1553
FEB 2 5 2022
FILLED LAND AFFIDAVIT St, wCJe County
Permitting
I, the undersigned, am the owner of the following described property,
�Ti7CtirTi��1 �
(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 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.
UA E V
Property Own ame lease Print)
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Prope Ovne�rSighature Date
STATE OF FLORIDA, COUNTY OF S 1 , l'U `-1 C'
ACKNOWLEDGED BEFORE E ME THIS 1 2+n DAY OF �DV E—M B&—Z 20 Z—I
BY U V k LL (`A M l�� 1 1"—�I 2C` C�1 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED l_ �-t I J I b z AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
GGZ5 OMMISSION NUMBER
(SEAL)
:Y Pie''• CASSANDRA HANSEN
Notary Public State of =,orica
a
SLCPDSD Revised 04/11/2011oPrti�o-`°: Commission GG 257552 5
My Comm. Expires Sep 11, 2.,77.