HomeMy WebLinkAboutFILLED LANDS AFFIDAVITi
PLANNING & DEVELOPMENT SERVICES DEPAR7ECEIVED
Building & Code Regulations Division2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 I C r 0 4 2018
ST. Lucie_ Count
FILLED LAND AFFIDAVIT y� Pere
8$ Lucie Count
I, t e undersigned, am the owner of the following described property,
(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.
Propcqy Owner Name (Please Print)
7,2, Zo/6
Probe Owner Signature Date
STATE OF FLORIDA, COUNTY OF M M\f)
ACKNOWLEDGED BEFORE ME THIS DAY OF -201V
BY�(�AK � WHO IS PERSONALLY KNOWN TO ME (0 OR WHO HAS
RIP Y WP 1/ AS IDENTIFICATION.
vi (Amd
SI qATLffit OFNOTAI Y UBLIC TYPE O RINT NOTARY
COMMISSION NUMBER
(SEAL)
Gwyneth Ellyn Wood
.. Notary Public, State of Florida
Commission No. FF 988516
SLCPDSD Revised 04/11/2011Q!% •' MY Comm. Exp. May 8, 2020