HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
IP
FORT PIERCE, FL 34982-5652 � ° "' 7 � •�.'
(772) 462-1553
Nov Z 9 7.Ola
FILLED LAND AFFIDAVIT
Bo .......................
I, the undersigned, am the owner of the following described property,
357 Jll oTLEMP I V-'e )L7Vfr P/&RCP7. 1�56 v %2lo4
(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,
adequate drainage off my property which will not adversely affect the immediate
community.
l� e 6-
Property Ovjper Na a (P aseWhit)
Ai�"_ . /, 77
O er Sipdfure Date
STATE OF FLORIDA, COUNTY OF
. "q '
BEFORE ME THIS DAY OF 20
XRSONALLY KNOWN TO ME CO) OR WHO HAS
LL L AS IDENTIFICATION.
Djy� M " - AnQ e_b,__1A :F
SIGNATURE 0 ,NOTARY PUB IC TYPE OR PAMT NO ARY
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
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Pi';g"� ANGELA M HUFF
o SEAL
°s Notary Public - State of -Florida
• p ; • E Commission # FF 234730
My Comm. Expires May 27, 2019
�''F °F F`�•�, Bonded through National Notary Assn,