HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT --
Building & Code Regulations Division
2300IVIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 ,
1(772)462-1553 .
WANNER
BY
a Linea counh,
I, the undersigned, am the owner of
Go%i/-41,ocif-If -W7eZ
(Parcel Id#/Legal description/Address)
LAND AFFIDAVIT
following described property,
Zozf ASPc 0I
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 Iior liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
�yCS
Property Owner Name (Please Print
Owner Signature .
STATE OF FLORIDA, COUNTY OF v
ACCKKN�OW�LEDGED BEFORE ME THIS I
BY 11'�'ly�Gt-S. CtvC�l QInJejV
PRODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
Date
DAY OF �, J`%� . 20_ �
l IS PERSONALLY KNOWN TO ME (E OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
KAREN S. NIELSEN
State of Florida -Notary Public
Commission.# GG207484
My Commission Expires
yam,"` June 12, 2022