HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED . i
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 Y3 2018
LcFFB
ie County, Permitting
I, the undersigned, am the owner of the following described property,
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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.
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF '%-• LU 6t,
ACKNOWLEDGED BEFORE ME THIS �, " DAY OF % 20 19
BY �l TJ:POSQn WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED I1Adm1 S l jUr! 'S. AS IDENTIFICATION.
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§J NATURE OF NOTARY PUBL TYPE OR PRINT NOTARY
66 56&I a COMMISSION NUMBER
KRISTINE MICHELLE TAYLOR
State of Florida -Notary Public
•_ Commission # GG 155618
SLCPDSD Revised 04/11l2011 :�+ c��� My Commission Expires
°�n°;;\\` October 29, 2021