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
St Lucie COUnt
Y
I, the undersigned, am the owner of the following described property,
2310-500-0002-000/7 Lot 45 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.
Prop wner Name (PleaseePrint)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
St. L06i -e
ACKNOWLEDGED BEFORE ME THI:
PRODUCED f�
U'
SIGNA7&E OF NOTARY PUBLIC
COMMISSION NU
SLCPDSD Revised 04/11/2011
DAY OF CS—� 20 (' ,
WHO IS PERSONALLY KNOWN TO ME (—!—J) OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
RiELLE A. DURYFEA
'= MY COMMISSION # GG087812
EXPIRES APO 04, 2021
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