HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
(772) 462-1553
SEP 19 2918
FILLED LAND AFFIDAVIT
ST. Lude County, Permftt ng
�C Vivea
I, the undersigned, am the owner of the following described property,
339./S Da,ouaJ000
7 7k9� S',���G�BQao� �,�rrf s� r-L3�9�6 ��Cie CoUNY
(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.
PAWW Affins,�
Pro erty Owner Name (Please Print)
Property Owner St afar ate
STATE OF FLORIDA, COUNTY OF 5TyVC
ACKNOWLEDGED BEFORE E THIS �3rd DAY OF �7� -q C l-S 4- 2012
BY I kf ACk / I-e� WHO IS PERSONALLY KNOWN TOME OR WHO HAS
PRODUCED
?SNAqV01F NO&4Y PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04111/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
•.,�IfURDICK
MY CO�NMI3SIbN # FF 9=8
EXPIRES: January 19, 2020
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