HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
1 (772) 462-1553
%PA ED FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal description/Address) P
for which I have applied fo St. Lucie County fora 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.
STATE OF FLORIDA, COUNTY OF 1 1 I Y1
ACKNOWLEDGED BEFORE ME THIS 25 �~ DAY OFA"�G' �'� �WHO
BY WHO IS PERSONALLY KNOWN TOME
PRODUCED
OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
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otary Public State of Florida
amela Smith
y Commission FF 191205
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