Loading...
HomeMy WebLinkAboutFilled Land Affidavit1-7 © S?- ate' SIIG ATUR F NOTARY PUBLIC 6Vq YB COMMISSION NUMBER PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGR4A AVENUE . FORT PIERCE, FL 34982-5652 (772) 462-1553 , n FII.LED LAND AFFIDAVIT 11 p% 4 2 9 `L0 I, the undersigned, am the owner of the following described property, (Pircel for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number 110-bZ3'7I 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 WILLNOT 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. f(I Vl ca sci:3 - (-5bJ it e Z Property Owner Name (Please Print) roperty Owner Signature STATE OF FLORIDA, COUNTY OF Sig !N� ZyGl4 Date Q ACKNOWLEDGED BEFORE ME THIS �/ DAY OF / -/ UgUJ � 20ZZ BY 144�RAN ei• (j Zoep4;4 WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS PRODUCED Apt. &XP/RES o L - Z I - Z n / S� AS IDENTIFICATION. TYPE OR PRINT NOTARY (SEAL) SLCPDSD Revised 04/1 U201 I ;; ti'�'°YBG�•, GARY BAKER MY COMMISSION q GG 064518 ,• P? EXPIRES: April 21,2021 P, hQ`' Bonded Ttvu No te Public Und&v es 3