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
adersigned, am the owner of the following described property,
2310-500-0002-000/7 Lot 68
(Parcel Id#/Legal description/Address)
SCANNED
BY
St Lucie County
Phase IIA Morningside Phase IIA
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.
Proper Owner Name (PleaseTrint)
Proper Owner Signature (((yam
Date
11
STATE OF FLORIDA, COUNTY OF St' � �' L_
ACKNOWLEDGED B ORE E THIS DAY OF � 20_
BY ( � >CL ��! � c � WHO IS PERSONALLY, KNOWN TO ME la OR WHO HAS
OF NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
AS IDENTIFICATION.
ROCHELLE A. DURYEA
MY COMMISSfON # GG087812
EXPIRES APdI 04, 2021