HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 Fn
FILLED LANDS AFFIDA*ST.
DEC 13 2018
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I the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal descrip on/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 j56i4igED
community. BY
St. Lucie County
Property Owner Name (Plfase Print)
K. --- //
Pr erty O I(er S' tore Date
STATE OF FLORIDA, COUNTY OF
BEFORE 04 THIS? DAY OF 11&11�f , 20 // .
BY
/-\ COMMISSION NUMBER
SLCPDSD Revised 08R42010
PERSONALLY KNOWN TO MEkZ', OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
xo ^rae�� SHERRI FERMAN
CammIWon # GG 187160
e Expires Mard114, 2022
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