HomeMy WebLinkAboutFILLED LAND AFFIDAVIT-NIM, - - PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal
DEC 2 0 2017
PEhPf 11_TIi!G
St. Lucie County, FL
of 234�
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.
,(b l ter
Property Owner Name (Please Print)
(2- 2_2-Z1-7
Property)9wner_§1�gn_afur6 Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _a—% DAY OF , 20_
BY 1 ` fi ` kcSSCX. WHO IS PERSONALLY KNOWN TOME ❑U OR WHO HAS
PRODUCED 0 Z— AS IDENTIFICATION.
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SIGNATURE OF OTARY PUBLIC TYPE OR PkINT N TARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
ANGELA M HUFF
Notary Public State of Florida
commission # FF 234730
Expires May 27, 2019
=;.9r PF
My Comm.
Bonded through National Notary Assn.