HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
1 (772)462-1553
LAND AFFIDAVIT
I, the undersigned, am the owner )of the following described property,
4422-502-0025-000-0 / 12198 �iverbend Ln.
(Parcel Id#/Legal description/.
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1804-0200 , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County L nd'Development Code, I shall be responsible for assuring
adequate drainage so that thennmediate 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 p operty which will not adversely affect the immediate
community.
Property Owner Name
I ) 11
Property Owner
STATE OF FLORIDA, COUNTY OF %-
ACKNOWLEDGED BEFORE ME THIS
BY
N-KIGNAATUREE OFF NOTARY PUBLIC
�R 10 ` 6MMISSION I
SLCPDSD Revised 04/11 /2011
y14o!/-6
Date
V DAY OF "�Pv"k 1 20
O IS PERSONALLY KNOWN TO ME ❑(� OR WHO HAS
AS IDENTIFICATION.
R PRINT NOTARY
(SEAL)
"i�P%%•'�., CAftOLINAITURBURU
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MY COMMISSION # FF 990995
"s + EXPIRES: May 10, 2020
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