HomeMy WebLinkAboutFILLED LAND AFFIDAVITECEIVS-0 OCT 02 7015
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
11% Lude county
I, the undersigned, am the owner of the following described property,
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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 1S 16- CSo3 , 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.
ANC �is�
Prope Owner Name (Please Print)
Property Owner Signa a Da
STATE OF FLORIDA, COUNTY OF S4 - Lu
ACKNOWLEDGED BEFORE ME THIS ay DAY OF T "-'t-tl_ 20 J —! ,
BY WHO S P ONALLY KNOWN TO � OR WHO HAS
)TARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBERRE
State of Florida
tosn EE 22410AL�
2016
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.