HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
By
St Lucie County
PLANNING& DEVELOPMENT SERVICES. DEPARTMENT .
" Building& Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
RECEIVED
FILLED LAND AFFIDAVIT
FEB 14 i_�,018
ST. Lucie County, Permitting
I; the undersigned, am the owner of the following described -property,
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.
rLAce. L�v�utS
Property Owner, Name (Please Print) .
X� p3 D.( 0(8
Property Owner Signature Date
STATE.OF FLORIDA, COUNTY 0175f.
ACKNOWLEDGE BEFORE ME THIS a DAY OF 20 f
— [L
BY __ --'' -- WHO IS PERSONALLY KNOWN TO ME (• ) OR WHO HAS
PR DU D ( l l D AS' DENTIFICATION.
1 / 1 c-, c r�
OF
NUMBER ��•.,,
,, . �•:, EARA D- HERNAND -
:'i AISLSION #FF172419.
,R°` EXPIRS U�tober 28, 2018
SLCPDSD Revised 04/11/2011