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HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 RECEIVED FILLED LAND AFFIDAVIT DEC 0 3 2018 ST. Lucie County, Permitting I, the undersigned, am the owner of the following described property, SCANNED 7Dl-00t3--o00 (Parcel Id€1/Legal description/Address) St. Lucie County 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. Pro erty O er Name (Please Print) Property Owner Signature ` Date STATE OF FLORIDA, COUNTY OF OF 20 gSONALLY KNOW TO ME C--) OR WHO HAS AS IDENTIFICATION. COMMISSION NUMBER I (SEAL) .02% Notary Public State of Florida SLCPDSD Revised 04/I I/2011 F * Susan D. Meitner My Commission GG 200849 O1 P/ EXPifea=12512022 PLANNING & DEVELOPMENT SERVICES DEPARTMENT J Bug & Code Regulations Division SCAN 2300 VIRGINIA F-7AVENUE RECEIVED BY FORT PIERCE, FL 34982-5652 St. Lucie County (772)462-1553 [SEC p g Z019 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the l 70/-O©r3 --poa (Parcel described property, 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 A) L. 7S�-AJ(l ; AJ .Sr' (Please Print) aS_!f�j�(C�j /[/ h M / / ire Date STATE OF FLORIDA, OF/ 2p12 _�SONALLY KNOW TO ME (_) OR WHO HAS AS IDENTIFICATION. COMMISSION NUMBER (SEAL) 4P Notary Public State of Florida Susan D. Meitner SLCPDSD Revised 04/1 V2011 y My Commission GG 208849 Expires05252022'