HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINR AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT RECEIVED
AUG 2 9 2017
PERMITTING
St. Lucie County, FL
I, the undersigned, am the owner of the following described property,
(Parcel IM/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 properly,
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 9 A
Property Owner Na t)
er Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF F , 20 /
WHO IS PERSONALLY KNOWNTO ME (t/ ) OR WHO HAS
PRODUCED
AS IDENTIFICATION.
�D w,1,-- lirllr
NATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
JO AN NE WILLS
SLCPDSD Revised 04111/2011 * Commission # FF 188304
Expires February 20, 2019
811ded Thru Troy Fain mw ranw 800,'185.7019