HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
(772)462-1553
J0 3 5 '01'9
FILLED LAND AFFIDAVIT
ST. Lucie County, Permitting
SCANNED
I, the undersigned, am the owner of the following described property,
-C)OD -
description/Address)
St Lucie County
.-� b Li&
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.
lZo�2p/ A
Prope caner Name (Please Print)
G
erty Owner Ignature Date
STATE OF FLORMA, COUNTY OF
ACKNOWLEDGED BEFORE ME TBLS DAY OF �✓Y �_ 20 I
BY�Cjr- WHO IS PERSONALLY KNOWN TO ME([%OR WHO HAS
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
.�,�:ye., MICHELLE L BRUTTO
Commission # FF 949733
s • , Expires January 12, 2020
"•�, •`� g .d Tl Tmy F4n m--8=8S701a
SLCPD �'se
IDENTIFICATION.
L)kP
(SEAL).
9Fk:+'�.,=_
GCMznIpCmh
.