HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
151y
St Lucie Cou'M
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
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, t� Itl-wD LA T 19i
�21viVeCo-o l't'l Cam
L10 R �, 1
(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.
l�"v D " -r wt_e s
Property Owner Name (Please Print)
Prope W.er • ignaWre i Date
i
QL j��
STATE OF FLORIDA, COUNTY OF VT . li[koce
AC3WLEDGED BEFORE ME THIS a— DAY OF T6b , 20_ff--
r Al I
BY IUV1 Kr7(5WHO IS PERSONALLY KNOWN TO ME L_) OR WHO HAS
PDCED AS IDENTIFICATION.
URE OF OTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMB
;°°°� FARA D HERNANDEZ
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MY COAOHMN #FF172419
-'�o, �.d•�„'.: EXPIRES October 28, 2018
(407) 391}0153 EloridallotarySeryicexom
SLCPDSD Revised 04/1 I/2011