HomeMy WebLinkAboutFILLED LAND AFFIDAVIT.SCANNED
By V
—, PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations,Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
(772) 462-1553
APR 12 2018
FILLED LAND AFFIDAVI FST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
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 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 l 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.
9a
Pro erty Owner Nam (Ple Print)
Prope Si Date
STATE OF FLORIDA, COUNTY OF ( 1,ode.
ACKNOWLEDGED BEFORE ME
THIS DAY OF I 120 19 ,
WHO IS PERSONALLY KNOWN TOME d/—) OR WHO HAS
MODUCED —T i AS IDENTIFICATION.
:� �M`( Ni Lov- eiwc Qn
fAT OF NOTARY PUBLIC TYPE OR PRINT NOTARY
O'er 11 bq COMMISSION NUMBER
NIW�LENSON
04�Y PUB4
? o MY COMMISSION #GG089104
EXPIRES: APR 02; 2021
Bonded through 1st State Insurance
SLCPDSD Revised 04111/2011