HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING ;& DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
ANNEU
BY
S4 Lucie fond;
I, the undersigned, am
Gl ^/ 6 5 —
(Parcel Id#/Legal
FILLED LAND AFFIDAVIT
RECEIVED
MAY 21 2018
ST. Lucie County, Permitting
owner of the following described property,
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R
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.
Property Owner Name (Please Print) /
Pr perty Owner Signature Date
STATE OF FLORIDA, COUNTY OF '5' Ll/"o�
ACKNOWLEDGED BEFORE ME � THIS J DAY OF /VI CLhfA , 201 ,
BY Rd �1 �/Y� U. �C�.�� ~ WHO IS PERSONALLY KNOWN TO ME (M) OR WHO HAS
PRODUCED
I_7'� )5t-1 COMMISSION NUMBER
SLCPDSD Revised 04/I 1/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
11
?000 Pon Nc�t�� ¢lic State of Florida
Donna �L''ea Askman
y - c My Commission GG 174054
��ei Expires 01109/2022
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