HomeMy WebLinkAboutFILLED LAND AFFIDAVIT--- - _ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
I
FILLED LAND AFFIDAVIT
SCANNED
BY
I, the undersigned, am the owner of the following described property, St Lucie County
5207 Seagrape Drive, Fort Pierce, FL 34982 Parcel IN 3402-608-0015-000-7
(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-A, A V QAJAJ
Pr p Owner Name (Plea a Print)
Property Owner Si tore Date
STATE OF FLORIDA, COUNTY OF S1;�__ LC/�rL
ACKNOWLEDGED BEFORE ME THIS DAY OF DCG7__ 20__/�
BY dj,A, U I le7f" WHO IS PERSONALLY KNOWN TO ME (EJj OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY P LIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
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TYPE OR PRINT NOTARY
(SEAL)
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_State of Florida -Notary
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W'.QCommission N 217
MY Corn GG 183217
Februar1ssion Expires
Y 06, 2022