HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
(772) 462-1553
DEC 0 3 202
FILLED LAND AFFIDAVIT
ST. Lucie County, Permitting
S
I, the undersigned, am the owner of the following described property, Stt UiCI.13y
34k4-- 7m- oa4►-co(_ g )-30a D &iLr?�9Pty
(Parcel
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 finther 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.
Date
STATE OF FLORIDA, COUNTY OF 6�— ` Ut4 &
ACKNOWLEDGED
J
EpDGGEl AAr.D BEFORE ME THIS � DAY OF NNW20 is
BY E UA84 , WHO IS PERSONALLY KNOWN TO ME (b OR WHO HAS
OF I
PRODUCED L AS IDENTIFICATION.
SIGN#rURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSIONNUMBER OST
ATOFFIXZRIUA
Corms 33GC'�2559
8xpfrea 3/912020
SLCPDSD Revised 04/11)2011