HomeMy WebLinkAboutFILLED LAND AFFIDAVITsCANNSD
. BY
St Lucie MOW
PLANNING & DEVELOPNIENT SERVICES DEPARTMENT
Building &! Code Regulations Division
2360 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
1 (772) 462-1553
I, the undersigned, am the ,owner o
a -)1= LL,.-c H U—r-q—,
(Parcel Id#/Legal description/ d ss)
LAND AFFIDAVIT
following described property,
.e--,(-L- 3N 4 g1
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 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.
I Property Owner Name (Please Print)
Property bwner Signature Date
STATE.OF FLORIDA, COUNTY OF.
4
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 i .
BY 01 CA. `+�: SG I WHO IS PERSONALLY KNOWN TO ME (0 OR WHO HAS
PRODUCED
COMMISSION NUMBER
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SLCPDSD Revised 04/11/2011 .
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AUDREYB. HUMPHREY
=* *: MY COMMISSION # FF 174772
'_. EXPIRES: March 6, 2019
Bonded Thru Notary Pubric Underwriters
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(SEAL)
AS IDENTIFICATION.