HomeMy WebLinkAboutFilled Land Affidavitj
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 LF r Ems° ��
FILLED LAND AFFIDAVIT AUG 0 8 r9r
I, the undersigned, am the owner of the following described property,
(Parcel 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,
j adequate drainage off my property which will not adversely affect the immediate
community.
I'S /Gh,��-1 f r/ 4rl C.-
Property Owner Name (Please Print)
Property Owner Signature r5ate
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS`-'�— DAY OF V� 20
WHO IS PERSONALLY KNOWN TO OR WHO HAS
PRODUCED AS IDENTIFICATION.
CsaA �FY qq��BLIC TYPE OR PRINT NOTARY
ii�•C k �1111Ul�COMMISSION NUMBER
4..
��„q,i/�,,,,AMANDAROGERS
MY COMMISSION # GG 010789
S.
`*��t p(PIRES: March 14, 2018
;o, `•'� WxIedThruNu"PubkUwritera
Mder
SLCPDSD Revised 04/11/2011 '"��