HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652�>�60tlpt�L�
(772)462.1553 BY
FILLED LAND AFFIDAVIT U tdi e countv
I, the undersigned, am the owner of the following described property,
LLV Cobblestone Dr, Fort -Pierce, FL
-10
(Parcel Id#/Legal description/Address)
RECEIVED
OCT 2 g 2018
Permitting Department
St. Lucie County
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.
Property Owner Name (Please Print)
9/24/2018
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF Brevard
ACKNOWLEDGED BEFORE.%IETIils 24
BY
COMMISSION NUMBER
I SLCPDSD Revised 0411 It?011
_ DAY OF September , ,0 %'
WI IO IS PERSONALLY KNOWN TO NIE (Q)OR WHO IIAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
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