HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY,
St Lucia'0001Y
PLANNING & SERVICES DEPARTMENT
DEVELOPMENT -
Building& Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
1 (772) 462-1553
I, the undersigned, am the owner
3y�y-'sal_ G6
(Parcel Id#/Legal description/Address)
LAND AFFIDAVIT
the following described property,
for which I have applied to St. Lucie County for a FjRG9,
ial Development Permit. In
accepting this Final Development Permit, BP Number - 0�0 , I acknowledge
that as owner of the above described property, an 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 will not adversely affect the immediate
community.
Owner Name (Please Pry
r ,
Owner Signature
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS
BY—C1tiMz°LG'L H C<�
SIGNATURE OF 60TARY PUBLIC'
R
ANGELA M055
_ • ; , Notary Public - State of Florida
• ' • = Commission q GG 123447
.•,`� r oQ?` MyComm.ExpiresNov7,2021
or t;? IiondedthroughNatlonalNolaryAssn.
SLCPDSD Revised 04/11/2011
M
62
Date
` DAY OF *��Pr' 1 I 120
WHO IS PERSONALLY KNOWN TO ME (D OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NgrARY
(SEAL)