HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462.1553 RECEIVED
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
Cobblestone Dr, Fort -Pierce, FL
(Parcel Id#/Legal description/Address)
F
OCT 9 6 `,7jp
Permitting Department
St. Lucie county
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f h•hI by l•dt St L • I—t f ' 1Dv1 tP •t I
or w Ic a e app Ie o . ucte _ oun y o
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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.
��� W �►a��1J3vh
Property Owner Name (Please print)
9/24/2018
Property Owner Signature Dale
STATE OF FLORIDA, COUNTY 017 Brevard
ACKNOWLEDGED BEFORE. NIE TIIIS 24
BY
:y Ce1►hti iR t1 �Lil;i`.i:��>� 3
COMMISSION NUMBER
SLC, PDSD Revised 0411 1i 20I I
I
_ DAY or September ,0 /Q
W110 IS PERSONALLY KNOWN TO mr. ([::]) OR W110 IIAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
stave or Flopda
Notary
(SEAL) = Sandra 1 Cene GG 020251
g,{ < a' Co tnrs;ion
ExP•IC50'3/1::12020
$of �.