HomeMy WebLinkAboutFILLED LANDS AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
c' Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
I
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
2310-500-0002-000/7 Lot 22 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.
er Owner Name (Please rin )
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF St. Lwl e
ACKNOWLEDGED BEFORE ME THIS DAY OF 20,
BY ��Cc����WHO IS PERSONALLY KNOWN TO ME 0) OR WHO HAS
OF NOTARY PUBLIC "
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
A
TYPE OR PRINT OR PRINT NOTARY
ROCHELt-E A. OIIRY�+
GGOIiTIIl�
•' MY COMMISSrON #
EXPIRE 96104,
2021
y�o' S A