HomeMy WebLinkAboutFILLED LANDS AFFIDAVITS1gLFC uL-,�,y,
COUNTY
F L O R I D A -44
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
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FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
2310-500-0002-000/7 Lot 14 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.
V—NII/l/ - �m /Vil I/ -/s/1
eOwnere (Please Pripet�ature Date
STATE OF FLORIDA, COUNTY OF St' /' ✓�-�
I ACKNOWLEDGED BEFORE ME THIS DAY OF MIL,
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BY \ �� b, 1'� �. WHO IS PERSONALLY KNOWN TO ME l!1) OR WHO HAS
PRODUCE AS IDENTIFICATION.
SIG ATURE OF NOTARY PUBLIC. TYPE OR PRINT NOTARY
I
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
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087812Y021