HomeMy WebLinkAboutFILLED LAND AFFIDAVIT-�w
COUNTY:
FLO R I D A'
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
i
2310-500-0002-000/7 Lot 02 Phase IIA Morningside Phase IIA
(Parcel Id#/Legal description/Address)
SCA N/vEL)
# �uCle countli
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.
0z
� Pr er Name (Please Print) ^
C \
Property or
er Signature
STATE OF FLORIDA, COUNTY OF St.
ACKNOWLEDGED BEFORE ME
BY l 1 9l/�—U%I lc 1—'�
UCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
LU6
n,
l� s
Date
_ DAY 0P�; 20' ,
WHO IS PERSONALLY KNOWN TO ME (21) OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
ROCHELLE A. DURYEA
iQ •t2;
MY COMMISSION #.GG087812
+;�. EXPIRES April 04, 2021