HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGH41A AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
RECEIVED
JAN 2 4 2!9i9
ST, Lucie County, Permitting
I, the undersigned, am the owner of the following described property, SCANNED
2313-214-0006-000-6 1385 COPENHAVER RD BY
(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 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.
l -/ / P
Date
STATE OF FLORIDA, COUNTY OF Sa•l.�c.,�-e-
ACKNOWLEDGED BEFORE ME THISS DAYOF 5ck' k, c ^ .20J
BY �1 •i �` 1 WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/112011
IDENTIFICATION.
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TYPE OR PRINTNOTARY
?�at:e8fo, MICHELLE LbBRUTTO
r Commission�733
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