HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 YIRGINIA AVENUE
FORT IERCE, FL 34982-5652
�(772)462-1553
46ANNED
931V
St o Ba�i�P@V
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, 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
,. 9.9• Imo'
Vtib;vrer'sign Date
STATE OF FLORIDA, COUNTY OF 1
ACKNOWLEDGED BEFORE M.Er THIS /� DAY OF 20� �
BY Yi I %i�, wU / �r7 1 WHO IS PERSONALLY KNOWN TO ME L--) OR WHO HAS
PRODUCED
SIGNATURE OF NOT.AIV PUBLIC
COMMISSION NUMBER
0•
(SEAL)
AS IDENTIFICATION.
SLCPDSD Revised 04/11/2011
,
�s+ Py,'�•, AUDREY B. L6,
:= MY CUMMISSI2
A EXPIRES: MBonded Thru Notaryters