HomeMy WebLinkAboutFILLED LAND AFFIDAVITi
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1.553
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BY FILLED LAND AFFIDAVIT
1
I, the undersigned, am the ow' er of the following described property,
LI5OZ - 501- 0$"15 - 0UO-5
(Parcel IM/Legal description/Address)
i
for which I have applied to i 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.
Owner Name (Please Print)
/ /
Date/!'
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF ieC// -/ 120
WHO IS RSONALLY I o TO ME (_� OR WHO HAS
PRODUCER AS IDENTIFICATION.
OF NOTARY PUBLIC
2- 7C COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
Public B;%5WIorida
allotary
Christine MatosMy
Commission EE 224190
Expiresl0/12/2016