HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
BYFILLED LAND AFFIDAVIT
St.1Luds C i-AW
I, the undersigned, am the owner.of the following described property,
QDLI 19 -, +q 2) W/7 0Qr -7 1 ri5
(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.
1'6 11aI
Dat
STATE OF FLORIDA, COUNTY O&`�L\�
AC OWLEDGED BEFORE ME THIS, DAY OF , 20 1
By h� \ �\ WHO IS PERSONALLY KNOWN TO ME (1l OR WHO HAS
PRODUCED AS IDENTIFICATION.
r, eAa M
SI ATURE O OTARY PUBLIC TYPE OR PRINT TARY
COMMISSION NUMBER
(SEAL)
unnq .
`C=O*PRYP49�C� ANGELA M HUFF
SLCPDSD Revised 04/11/2011 * * NotaryPublic
-
• a a . _State of Florida
Commission # FF 234730
My Comm. Expires May 27., 2019
r _ d through National Notary Assn.