HomeMy WebLinkAboutFILLED LANDS AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
itacjA, pe�4-1 Palm City, Fl 34490 (,ter 43
(Parcel Id#/Legal description/Address) s�Lt�$ _10 3 —M 4-6 -«m -3
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.
Robert Smi
Property Owner N
Property O er igns
STATE OF FLORIDA, COUNTY OF B roward
-323 I S
Date
ACKNOWLEDGED BEFORE ME THIS � 3 DAY OF r _ A.. .
BY Robert Smithwick WHO IS PERSONALLY KNOWN TO ME
PRODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
Denise Brown
TYPE OR PRINT NOTARY
,20 /is
OR WHO HAS
AS IDENTIFICATION.
ISE SRO",
1� n # FF 140607
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'* 'Expires November
SLCPDSD Revised 08/24/2010