HomeMy WebLinkAboutFilled Land Affidavit 1-12-22kt'.(S
PLANNING & DEVELOPMENT SERVICES DEPARTMEN0-V h4
T,
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 property,
ASO SO37d'zr'I OAKS r'�IAr s
(Parcel Td#/Legal description/Address) Z 3 0 S clm�Ar j9V E�
for which I have applied to St. Lucie County for a Final ,Development Permit. .In
accepting this Final Development Permit, BP Number 2 R 0 %"®1`-/ , 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.
Pope O er Name (Please Print)
P per Own e ignature Date
STATE OF FLORIDA, COUNTY OF��= 12.
ACKNOWLEDGED BEFORE ME THIS DAY OF C i 20,.
By IS PERSONALLY KNOWN TO ME (E " OR WHO HAS
AS IDENTIFICATION.
"SIGNATE F N TARY PU LIC TYPE OR PRINT NOTARY
OMMISSION NUMBER
a
llotary Public State of Florida
Danielle King My Commission GG 920935
Expires 10/27/2023
SLCPDSD Revised 04/11/2011