HomeMy WebLinkAboutFILLED LAND AFFIDAVITi SCANNED
—22 By
Sfi Ljjr: r'6taV1te,
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 APR 03 7M
St
Permlt ng Department
FILLED LAND AFFIDAVIT• rude County
I, the undersigned, am the owner of the following described property,
Parcel ID #1301601004500Q9 ; 7301 SANTA-BARBARA DR, FORT PIERCE, FL 34946
(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 1803-0728 , 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 WELL 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.
Joseph Miller
Prop Owner Name (Pleas6 Print)
,,
r p Owner Signature Datj(/-t5/
STATE OF FLORIDA, COUNTY OI
I
ACKNOWLEDGED BEFORE ME THIS �� DAY OF YI I , 20�,
I
BY r / �/ WHO IS PERSONALLY KNOWN TO ) OR WHO HAS
PRODUCED AS IDENTIFICATION.
SI /i,TURE NOTARk PUBLIC TYPEPOR PR4flZOTARY
(JG • COXMSSIONNUMBER. _._..
(SEAL)
RE
State of Florida
SLCPDSD Revised 04/11/2011 /202G 158853