HomeMy WebLinkAboutFILLED LAND AFFIDAVIT�CoU.IV=T_lI-- �-
i
C;0 s 0 �018
S7. Luc(e Countvx
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
�L
�))
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
M Zj - 3 57-Lj J Lb-
-(Parcel Id#/Legal description/Address)
Lf 5'70 S OY.&4 (kik,
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1716 -a ej I_, 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.
Owner N me lease rint)
o ;ZU�
Owner Si2naf4e Date
ST4 6 OF FLORIDA, COUNTY OF y.1G�x—O
ACKNOWLEDGED \\BEFORE ME THIS `5� DAY OF , 20 O ,
BY V A-)S-e1S WHO IS PERSONALLY KNOWN TO ME lam) OR WHO HAS
PRODUCED
SIG A TURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
KIMBE EREDA
Commissbn # GG 132141
s.•
+; �o Expires November 16, 2021
°` "`. • Banded TIVU Troy fain InSatm 800.385.7019