HomeMy WebLinkAboutFILLED LAND AFFIDAVITi
COUNTY
F L O R I D A
0
V1:7gi�"T SERVICES DEPARTMENT
ing & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
[LLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(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 /�03-GJ'6 ; .I acknowledge -
that. as —owner of the -above described property, and in accordance:. with Section
7.04:01(D), St:.Lucie CountyLand-Development Code, I.shall.beyesponsible for-assurmg .
,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:
i
Property Owner Name
y Owner Signature
STATE OF FLORIDA, COUNTY OF_
ACKNOWLEDGED BEFORE ME THIS
BY �Q1iN Glzl�#P
PRODUCED
r -v �.
SIGrrNF NOT
SIGNATURE OARY PUBLIC
T -L� (DIZI6.COMMISSION I
SLCPDSD Revised 04111/2011
T
{ILll
DAY OF MAY.
20.
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
� WICAO
LAIgL6
TYPE OR PRINT NOTARY
(SEAL)
Andrew C09
NOTARY PUBLIC .
STATE.OF FLORIDA
C rhmf FF990218
Expires 6126/202A