HomeMy WebLinkAboutFilled Land AffidavitLANNING
DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/
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 L 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 iri ediate
community. '��
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STATE OF FLORIDA, COUNTY OF -5� . -I 't,
ACKNOWLEDGED3,
(EDGED BEFORE ME THIS q DAY OF C !\ 20
BY y\\( C. Dxt'L <-- 1 ` ye' J WHO IS PF.RS NALLY KNOWN TO ) OR WHO HAS
PRODUCED AS IDENTIFICATION,
SIG TURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMM S 1 I 1sR
20 - ) Notary Public State of Florida
Christine Matos
�y My Commission EE 224190 (SEAL)
?OF fLO Expires 10/1212016
SLCPDSD Revised 04/11/201 I