HomeMy WebLinkAboutFILLED LAND AFFIDAVITI
PLANNING & (DEVELOPMENT SERVICES (DEPARTMENT
o Building & Code Regulations Division
I 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNEO
RECEIVED . .
FILLED LAND AFFIDAVIT
MAY 0 4 L018
St Lucie County
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
53 g- -- 5t6o-0PJF- ebb . 3 n1 aI A'*r' ` e' t— - 16 I `1 D b 4' na,iAskoy ` "- •
(Parcel Id#/Legal descripti6n/Address)
for which I have applied to f St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number N OS- 0 L6-7 , 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.
Property Owner Na lease Print)
xgz.l
Property.Owner Signature
STATE OF FLORIDA, COUNTY OF
y 20 2o16
Date
ACKNOWLEDGED BEFORE ME THIS DAY OF , 20 L o
T*1 DYh OS On WHO IS PERSONALLY KNOWN TO ME (%,/�OR WHO HAS
PRODUCED
SIGNA—fUREr1OF NOTARY PUM IC
QRA�tj
1 rI ,COMMISSION NUMBER
I
SLCPDSD Revised 04/11/2011
IDENTIFICATI.ON
aGc-
TYPE OR PRINT NOTARY
(SEAL)
BEVERLY S WALLACE
MY COMMISSION # GG023717
• ," Q' ` EXPIRES Novbmber 03, 2020