HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
St. Lucia COaa*
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
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,
4860 WATERSONG WAY, FORT PIERCE, FL 34949
(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.
Date
C_"'(.raL X9
STATE OFft"Fd"A, COUNTY OF br_CcJ
ACKNOWLEDGED BEFORE ME THIS _Dg DAY OF �r ) L) K 1 120 IT
BY C'l %_LC VIA\o r Qom,, 'HO, IS PERSONALLY KNOWN TOME 0 OR WHO HAS
PRODUCED n OYY� � � �Vf JIS l Jl Cjh QQ, AS IDENTIFICATION.
OF NOTARY
'ht64001aTkOMMISSION NUMBER
SLCPDSD Revised 04/11/2011
%ALOW 1:)2jtAarcOLS
TYPE OR PRINT NOTARY
HALEY JO DOMARAES
NOTARY SIC
STATE OF COLORADO
NOTARY ID #20164007204
MY COMMISSION EXPIRES 0223J2020