HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED
FILLED LAND AFFIDAVIT 7018ED ,t ,j CSC
D
ST. Lucie
I, the undersigned, am the owner of the following described property,
S 3409-`/4-7-0011)' OOO- 5' e.4.t/(a C rr2u5 1. A✓E
(rarcel last/Legal aescrlprlonrnuuress)
_SE /qOF ,5_�r/4e(y.sOA2) rbe /4aa-:Z-q)
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.
�JQYY)I Pi 001 L
PropertyO er Name (Please Print)
AA-3—f S'
r Owner Si latur Date
STATE OF FLORIDA, COUNTY OF fflyfitl ACKNOWLEDGED/
��M BEFORE E THIS DAY OF �O/�yA/!•ar '20-a,
.'j f I it 1 L WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
Pamela G. Coleman
TYPE OR PRINT NOTARY
COMMISSION NUMBER
+o;;� "4.,,,- PAMELA G COLEMAN
r,.5teto of Florlda•Notery Public
Commlamlon p FF 096069
'x�,f ,�°• My Commimslon Expires
SLCPDSD Rovised 04/112011 June t i, $092