HomeMy WebLinkAboutFilled Land AffidavitF
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PLANNING & DEVELOPMENT SERVICES 'DEPARTMENT
• Building & Code'Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(172)462-1553
FILLED LAND AFFIDAVIT yeti
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I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal
I
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.
W. Bryan Adams
-rngerty Owner Name Please Print)
Property Owner Signature _'-2 �l2 Z
Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS 2— DAY OF G�egry 20 Z2
BY W. Bryan Adams —
_WHO IS PERSONALLY KNOWN TO ME LE OR WHO HAS
PRODUCED .
AS IDENTIFICATION.I r W n�Q Hannah Moore
`SIGNATURE OF NOTARY PUBLIC
TYPE OR PRINT NOTARY
017099 COMMISSION NUMBER
(SEAL)
�p.°w� Notary Pu e of Florda
Hannah E M10re
SLCPDSD Revised 04/1 1/2011 �� �P MY Commis""' " 0170gg
or a Expves 07/012024