HomeMy WebLinkAboutFILLED LAND AFFIDAVITh
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
=mom* _• 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,'the undersigned, am the owner of the following described property,
(Parcel I0/Legal description/ ddress)
SCAMNED
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.
Property Owner Name (PIMP"MYn
P �Y Date
Pro e e i ' �
afore -"'
STATE OF FLORIDA, COUNTY OF
--, 4 gu�4- �-
ACKNOWLEDGED BEFORE ME THIS 19 v DAY OF N Ot'/' 20 /
BY WHO ISPERSONALLY KNOWN TO ME cOR WHO HAS
aunnTTnr;n C'l � . � 1P s 2,}(/— AS IDENTIFICATION.
SLCPDSD Revised 04/11/2011
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(SEAL)
:tiY°yc; AUDREYB.HUMPHREY
+: +' MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
Bonded Thru Notary Public Underwriters
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