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HomeMy WebLinkAboutFILLED LAND AFFIDAVITcNJr� • L"M�a ►wkT-MG & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 I FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, 49 k--� t, too-8ll — ©Q)/ f (Parcel 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 nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. -5- Date STATE OF FLORIDA, COUNTY OF I ACKNOWLEDGED BEFORE M'EITHIS DAY OF 2014 , BY %�/! �/`Pi �/�"1/G �i`✓�i WHO IS PERSONALLY KNOWN TOME D LOR WHO HAS P f'i AS IDENTIFICATION. SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY 83yg4ZCOMMISSION NUMBER ,�►'` �c + ELVIS R. ROCK . Notary Public - State of Florida �= My Comm. Expires Sep 21, 2018 SLCPDSD Revised 08/24/2010 ;F$F F �� Commission 8 EE 834942