HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
S$ [uCIP COUPW
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652.
(772) 462L 1553
i
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Address)
in ?f 3q N Ibl FT 0f u ]Ia OF u Ili Cf w o% of s-V !iy of ,V+�,• i/y -i.t �� Zai yo dT
for w ich have app led to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BPi 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 yvill not adversely affect the immediate
community.
All. /i.�-
Prop�erty Owner Name (P e 6 e Print)
3/gq Po
Property Own r Signature Date
STATE OF FLORIDA, COUNTY OF .►VtJtIC.LV-�
Qi
ACKNOWLEDGED RUE REMETHIS 1 DAY OF 120
BY IWHO IS PERSONALLY KNOWN TO ME (12 OR WHO HAS
PRWUCED AS IDENTIFICATION.
OF NOTARY PUBLIC 9 TYPE OR PRINT NOTARY '
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
LFlSNANNAINGRAM
?��• .`� Notary Public
- State of Florid
i
I
i
a
9, oPc my Comm. Expires Dec 20, ?C t S
.� �,F°,;«°o-,r Commiss'o-' # FF ,