HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
ScANN2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
R E C E I V' J D J U N 13 2017 FELLED LAND AFFIDAVIT
I, the undersigned, am the, owner of the following described property,
for which I have applied to St. Lucie County for a Final Development permit. In
accepting this Final Development Permit, DP 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.
Rf
ibrrn Rpf \ i ILC
Pr®perly ®Weer IV a (P se int)
Ptekry ®caner Signature Date
STATE OF FLORIDA, COUNTY OF MaA± i K
ACKNOWLEDGEDBEFOREME THIS �� DAY OF20 i -),
BY U C �l �� WHO IS PERSONALLY KN0 WN TO ME (_K OR WHO HAS
C
SIG14ATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
per P� ROCHELLE A. DURYEP►
O .:
i •" MY COMMISSION # GG087812
EXPIRES April 04, 2021