HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
PLANNING & DEVELOPMENT SERVICES DEPA34WU
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal
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 er Name (Please Print
roperty Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20_�L
By A ((l/tu%uk
IS PERSONALLY KNOWN TO ME (__) OR WHO HAS
CAI )0101�YLi)�i�i�L�l:lq:7
SLCPDSD Revised 04/11/2011
Comm
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(SEAL)
AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
March 6, 2019
Banded Thru Notary Public UndenvMers
Pf.