HomeMy WebLinkAboutFILLED LAND AFFIDAVIT_373 PLANNING & DEVELOPMENT SERVICES DEPAR
Building & Code Regulations Division
2300 VIRGINIA AVENUE
®o ®ionj is FORT PIERCE, FL 34982-5652
Ag (772) 462-1553
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FILLED LAND AFFIDAVIT
RECEIVED
MAY 0 7 2018
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
Parcel ID1423-566-0034-000-8
Lot 31, TARPON FLATS SUBDIVISION, according to the plat thereof
recorded in PB 69, Pages 27,28 and 29, Public Records of St. Lucie County, FL
(Parcel Id#/Legal description/Address)
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.
Q
Property Owner Name ( ,lease Print)
roperty r.S' ature Date
STATE OF' COUNTY OF oLl� L b
ACKNOWLEDGED BEFORE ME THIS. DAY OF �� n V` Fa n�� 20 $
BY S4 -g-u— n , t D c c p nr, —r�4Uff IS PERSONALLY KNOWN TOME (_��OR WHO HAS
PRODUCED I AS IDENTIFICATION,
ca CSd•--� �� L-�s��
SIGNATURE OF N-OTAIXY PUBLI Oy TYPE OR PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/I 1/2011