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 SCANNED
BY
St Lucie County
I, the undersigned, am the owner of the following described property,
2310-500-0002-000/7 Lot 58 Phase IIA Morningside Phase IIA
(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.
S R- 49. 17g
Owner Name (Please
k
Owner Signature
Date
STATE OF FLORIDA, COUNTY OF St. LV C `�
ACKNOWLEDGED BEFORE ME THIS DAY OF 20
BY b s Q / - - l WHO IS PERSONALL( KNOWN TO ME 0) OR WHO HAS
PRODUCED P AS IDENTIFICATION.
k 6C-�
SIGNAT RE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
ROCHELLE A. DURYEA.
MY, COMMISSION.# 0GO87812
EXPIRES APdI 04. 2021
SLCPDSD Revised 04/11/2011 y�'