HomeMy WebLinkAboutFILLED LAND AFFIDAVITM, PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
r FORT PIERCE, FL 34982-5652
SCANNED (772) 462-1553 RECEIVED
BY F
• Lucie County FILLED LAND AFFIDA T JUL 0 2 2,713
ST. Lucie County, Permitting
1, the undersigned, am the owner of the following described property,
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Y
(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.
6-EL.
Prope Owner Name (Please P ' t)
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operty Owner gna Date
STATE OF FLORIDA, COUNTY OF 60
ACKNO EDGnE'D BEFOR/E ME THl O� DAY OF /V�P .20
BY ]4'T%�!C<L , / . I¢IIGe/ WHO IS PERSONALLY KNOWN TO ME R WHO HAS
PRODUCED 1( AS IDENTIFICATION.
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SIG4ATU/&O-FNqCA Y P LIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011 `�,tPar P"'% MELISSA J S
' : Notary Public - State ofER Florida
o My Cornm. Expires Feb 11, 2019
9rF Commission #� FF 173230
Bonded through National Notary Assn.