HomeMy WebLinkAboutFILLED LAND AFFIDAVIT 2-29-16PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIE72) 462 1553RCE, FL 82-5652 RECEIVED
FILLED LAND AFFIDAVIT FEB 2 9 2016
PERMITTING
St. Lucie County, FL
I, the undersigned, am the owner of the following described property,
,�vr 60
(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.
�572--vAS G14-,A US/
Pro Owner Name ease Print)
operty Owner Signature Date
STATE OF FLORIDA, COUNTY OF /t/ �C �N l jy "n
h1 fr,
ACKNOWLEDGED
BEFORE E THIS ��DAY OF 1 IZ�i Ci I�f1� 20
J BY a; r L 1 C t4 S�WHO IS PERSONALLY KNOWN TO ME (ZOR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
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MY COMMISSION i FF 117049
gr EXPIRES: April 28.2018
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