HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
0
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 R�CEIV� D
FILLED LAND AFFIDAVI r O C T 2 3 2018
ST. Lucie County, Permitting
SCANNED
I, the undersigned, am the owner of the following described property,
Lucie County
(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 shallbe 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.
L.
Property OwnerName (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF
BY WHO IS PERSONALLY KNOWN TO MEOR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE�OF NOTARYUBLI \ � TYPE OR PRINT NOTARY
COMMISSION NUMBER
•�unu,,
(SEAL) ,�O�pPYP�B`,��' STELLA M. HUNTER
_ +��, Notary Public - State of Florida
Q.
Commission # FF 180552
"'�o� ;;a°�' My Comm. Expires Jan 23, 2019
Bonded through National Notary Assn.
SLCPDSD Revised 04/11/20I 1