HomeMy WebLinkAboutFILLED LAND AFFIDAVIT 3-7-18C
SCANNED rl-v tt
BY
St Lucie Ccuh y
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1553
MAR ®7?010
I
FILLED LAND AFFIDAVIT Permitting Department
St. Lucie County
I, the undersigned, am the owner of the following described property,
Id#/L' egal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number J S6 ( ' C) O , 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.
- bac[es /.Rmn
Property O Print)
Property Owner Signature D to
STATE OF FLORIDA, COUNTY
ED
OF NOTARY PUBLIC TYPP OR PRINT NOTARY
NUMBER
20 ) K
TO ME (_❑) OR WHO HAS
(SEAL)
AS IDENTIFICATION.
RACHEL ANN VOSSEN
SLCPDSD Revised 04/11/2011 = i . o•�
a .. Notary Public • State of Florida
My Comm. Expires Apr 16.2018
Commission-v� FF 107651