HomeMy WebLinkAboutFilled Land Affidaviti
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
2300IVIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
I(172)462-1553
FILL,
I, the undersigned, am the owner of
(Parcel Id#/Legal description/Address)
LAND AFFIDAVIT
following described property,
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
;ra:P1e;j7;0--wner Name Please Print) I
Property Owner Signature i �Z lyl2/
Date_
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS �L I DAY OF
BY W. Bryan Adams I 20—
_WHO IS PERSONALLY KNOWN TOME OR WHO HAS
PRODUCED
' AS IDENTIFICATION.
�L I ► W n� Hannah Moore
� SIGNATURE OF NOTARY PUBLIC
TYPE OR PRINT NOTARY
017099 COMMISSION NUMBER
(SEAL)
:p-ay � Notary Pub"C State of Florcta
'Hannah E Moore
ww
SLCPDSD Revised 04/I l/2011 �� gip' MY C0sMM'S'M HH 017099
Expue07/012024