HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
i
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(rarcel W/Legal description/Address)
for which I have applied to St. Lucie i 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 p
community. roperty which will not adversely affect the immediate
W. Bryan Adams
Owner Name Please Print)
/Z Z 212
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS Z Z DAY OF 20 z�
BY W. Bryan Adams —
_WHO IS PERSONALLY KNOWN TO ME (D OR WHO HAS
PRODUCED
AS IDENTIFICATION.
Hannah Moore
SIGNATURE OF NOTARY PUBLIC
TYPE OR PRINT NOT
017099 COMMISSION NUMBER
(SEAL)
°w� Notary public State If Flores
Hannah E Moore
SLCPDSD Revised 04/11/201 1 ��' �p� MY Commissron yH 017099
a F Expires 07/012024