HomeMy WebLinkAboutFILLED LAND AFFIDAVITt
BY
of 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,
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(Parcel Id#/Legal description/Address) Pp County IP/��bdv /� /7 � �_
for which I have applied to St. Lucie Coun for ` a Final Development Permit. In
accepting this Final Development Permit, BP Number 1401.0\55 , 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.
Prope5y Owner Name (Please Print)
erty Owner Signature
Date
STATE OF FLORIDA, COUNTY OFF 1'
j
ACKNOWLEDGED BEFORE ME THIS DAY 01713 q V\ 20 1
BY 5 % 4% r'Nrfe f I— WHO IS PERSONALLY KNOWN TO ME C—) OR WHO HAS
PRODUCED i" ` L' AS IDENTIFICATION.
SIGNATURE OF N ARY PUBLIC TYPE OR PRINT NOTARY
VE rill (0 t COMMISSION NUMBER
"`�
LL��DEANNAMARIEG eMY COMMISSION # GG 022023
EXPIRES: December 16,2020
F bonded Thru Notary Public Underwriters
SLCPDSD Revised 04/11/2011