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- uC NNW
BY
I, the undersigned, am the owner of the following described property,
3424-800-0093-000-5 / 3600 Red Tailed Hawk Drive
(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.
Property Owher Name (Please Print)
17`l�
Propertyer Signature Date
7
STATE OF FLORIDA, COUNTY OF ^4'V ►�IIQM -\V�- t
ACKNOWLEDGED�B/E�FO$E M HIS P (f�_ DAY OF V Q 20 O ,
BY aVe r%4) WHO IS PELtSONALLY KNOWN TO MEkLOR WHO HAS
/PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOT RY P IC TYPE OR RINT NOTARY
3 L3ol a COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/1.11201 I'P�4o MARGARET SCHAEFER
*Vy
MY COMMISSION # G088886
EXPIRES: March 30, 2021