HomeMy WebLinkAboutFILLED LAND AFFIDAVITi-�
PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 GGANNED
(772) 462-1553
St. Lucie roan v
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
ile J i b M mn-y' (s, t;- A• PORT 007 Wd, It 20 3 3
(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.
# VA N 1 T A RATUAcP N9-
Property Own a (Please int)
Property Own 8'ignature
STATE OF FLORIDA, COUNTY
64%
Date
ACKNOWLEDGED BEFORE ME THIS iP ` " �DAY�JOOFJ �• 20 147,
BY Th �A n t I/I T/� // 4 I&P �11S PERS ALLY OWN TO ME (a OR WHO HAS
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
u.I&mpwmay
(SEAL)
"
AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
EXPIRES:6, 2019
AF 0.a.
Bonded Thor Notary PubTa Underwriters