HomeMy WebLinkAboutfilled lands affidavit —— PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division RECEIVED
CoUNTY
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 MAR 2 3 2022
St.Lucie County
FILLED LAND AFFIDAVIT Permitting
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 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.
r A)
Property O e(Please Print)
)2,622 `
Property O r Signature Date
STATE OF FLORIDA,COUNTY OF_.;
ACKN LEDG D BEFORE ME THIS�.�DAY OF 20 .
` WHO IS PERSONALLY KNOWN TO ME(0 OR WHO HAS
PRODU r AS IDENTIFICATION.
SIGN RE PARRY PUBLIC T OR PRINT NOTAR
COMMISSION NUMBER
� Notary Public State of Florida
Laura Arguelles Alonso
My Commission HH 080202
a n Expires 02/15/2025
SLCPDSD Revised 04/11/2011