HomeMy WebLinkAboutFILLED LAND AFFIDAVITYi „ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
N O V 2 7 FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal
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.
Ifurther 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.
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Property Owner Name (Please Print)
top rty Owner SigEdture e
STATE OF FLORIDA, COUNTY OF ZSk- '
ACKNOWLEDGED BEFORE ME THIS ~ DAY OF / V 6\X-�1 , . 20 1 l
BY Y"C Y`\�%111�(l l� WHO IS PERSONALLY KNOWN TO ME cup OR WHO HAS
PRODUCED � � AS IDENTIFICATION.
4SATURE OF NOTARY PUBLIC
01 aA - DOD60MMISSION NUMBER -
tt 531 uP
SLCPDSD Revised 04/11/2011
1 u, .
TYPE OR PRINT NOTARY
(SEAL)
;:��P •. STACI DAVIS
Notary Public, State of Florida
Commission No. FF 953166
°thy,, My Comm. 6p. Jan.24, 2020