HomeMy WebLinkAboutFILLED LAND AFFIDAVIT6CANNED
BY
St Lucie Counter
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL.34982-5652
772-462-1553
i
FILLED ILANDS AFFIDAVIT
I, the undersigned, am the owners of the following described property:
(Tax 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
nnr linhle to nrovide for, or maintain in any form, adequate drainage off my property which
will not adversely affect the
jelew 7-71ti/
Property Owner Name
community.
001W
Property Owner Signature' Date
STATE OF FLORIDA. COUNTY OF �� ' Lt'e—; otg
ACKNOWLEDGED BEFORE ME THIS � �Q ram- DAY OF < < 20Lr
BY S� T WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
94--4�WAX
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IGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMIISSION NUMBER
;:PnY:evac; JOANNEWILLS
Commission # FF 188304
r Expires February 20, 2019
Bonded Thru Troy Fain Insurance 8o0385d019
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