HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(712)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following- described property,
2532-.S'0o-Cody-C�06-1 467- S"o VIA MR50'.'V&
(Pareel I& Legal description/Adilress)
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.
RAUL ih6P//V,4
Pro Name (Please Print)
Property Owner Signature _ Date
°
STATE OF FLORIDA, COUNTY OF �ii�(( II
1 L�i'tf.
AC WLED ED BEF RE E TIJIS. ` I DAY OF
By _C � _ _ WHOIS PERSONALLY KNOWN TO ME - OR WHO HAS
PRODUCED AS IDENTIFICATION.
C-jap4?:7 4'U�;7
SIG, O NO ARY PUBLIC TYPE OR PRINT NOTARY
t oYx� r.. 06000M MN
COMMISSION NUMBER v'P'U�• GONTRAN M. DOMINICIS
...,c*. MY COMMISSION # GG 104216
EXPIRES: September 11, 2021
'.FoF; °•`' Bonded Thru Notary Public Underwrites
SLCPDSD Revised 04/1-12011