HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT SCANNED
By
VUD LU* ft" d
I; the undersigned; wn the owner .of the .fo 10wing dewrfbed property;
Estates of Longwood / .1801 Hazelwood Dr, Ft Pierce FL 34982
(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 Cour.ty 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.
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Property Owner Signature
-i8-��
Date
STATE•OFFLORIDA,,COUNTYAF I 1A
�I/ 1
ACKNOWLEDGED BEF M THIS r DAY OF 20
B/Y 0 �' f /y N; �J � WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
-i%&6b(fM /0. 1- • A5 MR-FIRCA i 69
OF NOT
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
COMMISSION NUMBER
Jasandra A.ingrdmm
NOTARY PUBLIC (S`EAL)
STATE 00 FLORIDA
. CocGGQ32559
E44res 3/9/2020