HomeMy WebLinkAboutFILLED LAND AFFIDAVIT�JL�E BOG ST. LUCIE COUNTY
rye BUILDING & ZONING
v 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
<ORIDP • 462-1553
FILLED LANDS AFFIDAVIT
SCgNNE
D
St Luc By
oon
I, the undersigned, am the owner of the following described property: ty
.1Yv 2 6 09 i) r-67 ,)/-�n r
for which I have applied to St. Lucie County fora Final Development Permit. In accepting
this Final Development Permit, BP Number OS 09 - /ois . 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.
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF S-� ' LU Ct �• /� V�.�n Vv�
ACKNOWLEDGED BEFORE ME THIS 00 DAY OF MA) )t� I 1 �hff , 20�
.NOTARY PUBLIC TITLE
IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
9z.IIVIGUN1r9M
Beatriz Serrano
_ �n s Ion #DD2183-
Ex Expires: 04
TYPE OR PRINT NAME OF NOTAR°#;`;a - P Bond ul 01, 2007
Bonded Thru
AtlargEAWding Co„ Inc.
COMMISSION NUMBER