HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL.34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT O
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I, the undersigned, am the owner of the following described property:
-532Z- 6"oo-ooa.'-000-� 91a� Lz�vr���s
(Tax /Legal descnption/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
for liable to provide for or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Property Owner Name property uwner signature LaLc
STATE OF FLORIDA, COUNTY OF �t"'
ACKNOWLEDGED BEFORE ME THIS r DAY OF
Bl6';qj;,C5 �•/�CRr� S WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
1
IGNATURE OF NOTARY TYPY OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TrrLE COMMISSION NUMBER
1 •ii.�:Y.':'{/p��.� JO ANNE WILLS
Commission # FF 188304
' Expires February 20, 2019
���••8onded Thru Troy Fain Insurance 800-385-7019
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