HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following//described property,
1,4744'M , 001 -603 Iva -so � a-Lm- d
(Parcel Id#/Legal description/Address) 11040 0
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.
C1a d
Property O e (Please i
Property er Si ature D e
STATE OF FLORIDA, COUNTY OFM 'AQ-71
,.
ACKNOWLEDGED BEFORE ME THIS DAY OF !� 01eo
3
BY /// All ArLt_ v WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
AS IDENTIFICATION.
L� KOavi 02j /'�. L-"C,-2-
SIGNATURE O OTARY UBLIC TYP O T NOTARY
COMMISSION NUMBER /
(SEAL)
AUDREX 7K.KLEPX7-AK
' CommissiEE 066653
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