HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANK,--)
BY
St Lucie County
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 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.
Nay;-1w Z9
Property er Name (Please Print)
e' f/ 1aPgl
Property Own Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BE RE ME THIS / 1 DAY OF AI 55 - 20 ci
BY . WHO IS PERSONALLY KNOWN TO ME (_) OR WHO HAS
- --_ --_
PRODUCEDy AS IDENTIFICATION.
SIGNATURE OF NOTARY PUB
IL- U�%�/dCOMMISSION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
(SEAL)
Notary Public State of Florida
r.'ather C Dahlin
+� My Commission HH 029010
'�laL :. xPiress 008105/2024