HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462.1553
SCANNED FILLED LAND AFFIDAVIT RECEIVED
BY OCT 2.9 201e
�. Lucie County
Penn. Dep
St. artment
I, the undersigned, am the owner of the following described property, Luce C°unh,
Cobblestone Dr, Fort -Pierce, FL
(Parcel Id#/Legal description/
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,. U�) Y-JA0)7)X)1
Property Owner Name (Please Print)
9/24/2018
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF Brevard
ACKNOWLEDGED BEFORE NIETIIIS 24 DAY OF September ,,a/ 0
BY WI10 IS PERSONALLY KNOWN TO ME Q) OR WHO HAS
PRODUC AS IDENTIFICATION.
SIGNATURE OF NOTARY UBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER State 01 F10nda
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SLCPDSD Revised 04110-011