HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
RECEIVED
APR 0 5 2022
St. Lucie County
Permitting
I, the undersigned, am the owner of the following described property,
Szl? 1>44.M Dalvv, Pr.PiG'"6'
3Lt02- &o8- o3q1- ocxl ( 1.1-.6. (IrJIT -7 4ci, Lor 39
(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 2201— daSB, 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.
XeAsel T. Reyes
Property Owner Name (Please Print)
Owner a e Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS LJ DAY OF 0 2
BY jM t (1-1A5 �-- -J . P-"-"/ GLS <EO71S PERSONALLY KNOWN 1 ap) OR WHO HAS
PRODUCED
0SIfGNA OF TA P IC
70&1 ssioN NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT N TARY
r
(SEAL)
IDENTIFICATION.
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