HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
COUNTY
F L O R I D A
r
PLANNING & DEVELOPMENT SERVICES DEPAR ENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Developme t Permit. In
accepting this Final Development Permit, BP Number 1 a" o�oacknowledge
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
t
Date
STATE OF FLORIDA, COUNTY OF a` 1 ` >.
ACKNOWLEDGED BEFORE ME THIS �� DAY OF 120 f
BY _ WHO IS PERSONAL ME KNOWN TO MOR WHO HAS
ODUCED AS IDENTIFICATION.
IG ATURE OF NOTARY P LIC TYPE OR PRINT NOTARY
SLCPDSD Revised 04/11/2011
COMMISSION NUMBER J0
(SEAL)
LASHAHNA 1NQRAM
uA`%'4, Notary Public -State of Florida
y My Comm. Expires Dec 20, 2018
Commission. � FF 177249
°'%`%° �� ����• Bonded through National Notary Assn.
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