HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VULGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
SC BY
St. Lucie county
(Parcel IM/Legal description/Address)
(o237bv'75$) 265-6 CoNIFEd-DIIUE (-ry2.rptEOCE'FL 3gg51
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 farm,
adequate drainage off my property which will not adversely affect the immediate
community.
Date
STATEOFFLORIDA,COUNTYOF MAP -?in/
ACKNOWLEDGED BEFORE ME THIS I q DAY OF NOJ ,20 L
BY (J/?Q`� UIJST WHO IS PERSONALLY KNOWN TO ME L—j OR WHO HAS
PRODUCED
��- Ju(-tE Pt Se USE
SI TURE OF NQFARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
JULIE M SCALISE
y, MY COMMISSION # 0G091020
SLCPDSD Revised 04/11/2011 EXPIRES April 06, 2021
AS IDENTIFICATION.