HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED 1'
BY
St Lucie County
__PLANNING _PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1553
MAR 0 62018
FILLED LAND AFFIDAVIT
ST, h40e CQUnty, Permitting
I, the undersigned, am the owner of the following described property,
Ir- PSL 3k
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Develo ment 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.
vl'nceoMA-r2c'olllrib
Property O er me (Pleas int)
Property Owner Signature
STATE OF FLORIDA, COUNTY OF 4,
.3.6IIr
Date
ACKNOWLEDGED B FORE ME THIS ( JO&DAY OF 1201,
BI(YCP,I l WHO IS PERSONALLY KNOWN TO ME Ca OR WHO HAS
Y \)
PRODUCED
COMMISSION NUMBER
SLCPDSD Revised 04/1 I/2011
TYPE OR PRINT NOTARY
ie
KAREN S. NIELSE
N Commission # FF 115637
My Commission Expires
June 12, 2018
AS IDENTIFICATION.