HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED FILLED LAND AFFIDAVIT
BY
M. Lucie COW*
I, the undersigned, am the owner of the following described property,
1334-502-0012-000-7 / Monte Carlo CC Unti Two Lot 95 / 2707 Bent Pine Dr.
(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.
Adam & Melissa Holmes
Prop r Own Name (Please Prin
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Pro caner Signature Date
,
TATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _2,2== DAY OF `/ 64 . 20l,
BY f - _ J m �n WHO IS PERSONALLY KNOWN TO ME CDr< WHO HAS
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TYPE OR PRINT NOTARY
�N NUMBER 403' �
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�i SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.