HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
561-462-1553
FILLED LANDS AFFIDAVIT
I, th6 undersigned, am the owner of the following described property:
33 - boa , ao& S- 1y( xJlu m —DR1/k_
(Tax 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 j9E[:E 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.
Property Owner Name Property Owner Signature Date
STATE' OF FLORIDA, COUNTY OF S7� LUCK
ACKNOWLEDGED BEFORE ME THIS ZUk DAY OF 2%*.y" ,
BY l WHO IS RSONALLY KNOWN T E OR WHO HAS PRODUCED
AS IDENTIFICATION.
o .OS YpuBG, Rosem;xyL.Ritter
_ =rnmmiqqion #DD289829
Expires: Feb 26, 2008
SIGNATURE F OTARY TYPE Of NAME 4"a ny"
Atlantic Bonding Co., Inc.
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER