HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
561-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of
following described property:
(Tax ID/Legal description/Address)
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.
I, 2 --7m� rk r&90;,
Property Owner Name Property Owner Signature Date
I
STATE OF FLORIDA, COUNTY OF c j 4._ l A-c Ie
ACKNOWLEDGED BEFORE ME THIS /1 DAY OF 20 d
BY 1r1�_T � V C 60- T WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
AS IDENTIFICATION
t
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE �� uAR&O (SEAL)
OMMLSSION NUMBER
HOLLY E. SAMMONS
MY COMMISSION # DD426762
+*... EXPIRES: May 8, 2009
ter.