HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 A,�g
(772) 462-1553
By
FILLED LAND AFFIDAVIT
I; the undersigned, am the owner of the following described property,.
3403-702-0004-000-9, DUNN ROAD ESTATES LOT 3,5140 DUNN RD
(Parcel.I0 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 int)
Property Owner- SignaturV Date
STATE, OF FLORIDA, COUNTY OF
BY
SLCPDSD Revised 04/11/2011
EFORE M S _DAY OF V�,r�� 20
I RSONALLY KNOWN TO M OR WHO HAS
A$ IDENTIFICATION.
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ARY PUBLIC TYPE OR PRINT N Y
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NUi�Ii �� v TRACEYW. MCGHEE
FLORIDA
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Con FFF2415335�A (SEAL) ' Y -STATE OF FLORIDA
Expires 9/10/�019 C TUT4 FF241935
' � Expires 8/10/2019