HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division SCANNED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 . V ?,
(772) 462-1553 We; Wtv
RECEIVED
FILLED LAND AFFIDAVIT_
AUG 1 6 2D18
ST. Lucie County, Permitting
I, the undersigned, am the owner_ of the following described property, .
(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:
Property Owner Name (Please Print)
Property Owner Signature Date.
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGEIIBEFORE ME THIS DAY OF f 20
B WHO IS PERSONALLY KNOWN TOME U OR WHO HAS
PR D D AS IDENTIFICATION.
TRACEYW:MCGHEE
8� NOTARY PUBLIC
E TARY PUBLIC TYPE OR ATE OF FLORIDA
COMMISSION NUMBER FF:�41M
Z,1%��. ExV res 811.0120ig
(SEAL)
SLCPDSD Revised'04/11/2011