HomeMy WebLinkAboutFILLED LAND AFFIDAVIT—Lu I _L_ 7
COUNTY '-17
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGRgU AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 r&LAMED
REC
AUG -9 ?3 ' G1g
ST. Lucie County, Permitting
01
FILLED LAND AFFIDAVIT St- Lijeje Cwn V
owner of the following described property,
3"f0Z- (OS'- 0122-- of
(Parcel IM/Legal description/Address)
e 4 701 6 uc j w. ,.j.o,)
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.
ProperOnerNePleae Pr'tyw
-, 7—-19"
Property OwnSignature .Date f
er
STATE OF FLORIDA, COUNTY OF SX, Ut cr, a..
ACKNOWLEDGED BEFORE ME THIS 7 DAY OF __ �k� Y 20 i
BY 5�4�0 19 we.� WHO IS PERSONALLY KNOWN TO ME (XL) OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT -NOTARY
Fic 982toq COMMISSION NUMBER
00011 A QEMMIS (SEAL)
NOWY Pdit - 011MF of FloNdat
• •g COMMIstIon I FF 98M
Ky Cma is 0" AVI 1. 2020
SLCPDSD R BondIdlM0u�11ioe111b1iryAUn:
AS IDENTIFICATION.