HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT .
• ` e Building & CodeRegulations Division
I 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
I (M) 4Q-1553 .
SGANNED) I
Sly FILLED LAND AFFIDAVITFREEIVED
�$ �[9r1A
9 2018
T: Lucie County,; Permitting
I; the undersigned, am the owner, of the following described property,
(Parcel Id#/Lga1 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 Coui tyLand:Development :Code; Is
hall be responsible for assuring
adequate drainage so that Ithe 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 Owner Name (Please Print)
Prope miner to e _ .� Date
STATE OF FLORIDA, COUNTY
ACKNOWLEDGED,BEFORE
BY
OF
epoe4--
HIS., 7 DAY OF 20A_J,
,V . "O IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
I
TYPE OR PRINT NOTARY
I.
COMMISSION NUMBER
i
SLCPDSD Revised 04/11/2011
Craig EmmCCOY
NOTARY P
_STATE OF FLORIDA
Comm# FF994401
�° Expires 5/28/2020