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HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FI, 34982-5652 (772)462-1553 SCANNED FILLED LAND AFFIDAVIT By St Lucie County I, the undersigned, am the owner of the following described property, description/Address) 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. *—P��—owncri?i—gnature Property Owner Name (Please Print) Da STATE OF FLORIDA, COUNTY OF c J�' w "j'—e, ACKNOWLEDGED BEFORE ME THIS DAY OF 20 BY T`G! f l G 1 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. t /"Ml1v1 (�� Nil (ua �AN* SIGNATURE ARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER SLCPDSD Revised 04/112011 ...i4,,,, MICHEL}CE L BRUTTO _�,. �i,_ Commis&OF949733 i Expires January 12, 2020 BddaGTlau Tm Fen lm✓eKe AW�S1014 PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 SCANNED BY FILLED LAND AFFIDAVIT St LUCK County I, the undersigned, am the owner of the following described property, -1DP7 - © C� - � 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. sec r -I IM Property Owner Name (Please Print) Property Owner Signature Dat STATE OF FLORmA, COUNTY OF I J J "'w�NNtt61'1 --yy-- a ACKNOWLEDGED BEFORE JME THIS TDAY OF J 20 -1 By `t�Gf f� U 7 WHO IS PERSONALLY KNOWN TO MB OR WHO HAS PRODUCED AS IDENTIFICATION. SIGNATURE NOTARY P� TYPE ORPRINT NOTARY COMMISSION NUMBER SLCPDSD Revised 04/1112011 Fi?��Y rWtx= MICHEL L BRUTTO . Commisi F 949733 h� /`= Expires January 12, 2020 "�xr,��. Bonded TFrvTmy F®nlneurwce eW3Bi701$