HomeMy WebLinkAboutFILLED LAND AFFIDAVITh
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772)462-1553
FEB 2 6 2018
BY FILLED LAND AFFIDAVIT
St Lucie Cbuh,-ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
L\5C)2- -SO l -- 'kZ :Se - 000` U
(Parcel Id#/Legal description/Address)
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.
C. k P �- j l .J ► c-hi e%5 e-,
�ro— ert�Owner�Name 11�ase�Print)
]'r. er�'C)wnS afore - + a' ems`
STATE OF FLORIDA, COUNTY OF .Tt • Lukc�1 C
ro( r
ACKNOWLEDGED rBEFORE ME THIS Z � DAY OF �/ , 20
BY cl, � e LSQ lit WHO IS PERSONALLY KNOWN TO ME� OR WHO HAS
AS IDENTIFICATION.
S NAT Y OF NOTARY PUBLIC TYPE OR PRINT NOTARY
�z21 1 COMMISSION NUMBER
(SEAL)
I TERESA L KAMERIK
SLCPDSD Revised 04/11/2011 i ''
I MY COMMISSION # FF227168
'9
EXPIRES May\05 2018 _
. � 3910,`53 flurkWNo18.;5;p e'ron.