HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT b'c
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St 4uc/&c
I, the undersigned, am the owner of the following described property, nt 1
/ .2a j)" k
(Parcel IdN/Legal description/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 immediate
community.
STATE OF FLORIDA, COUNTY OF 4 O
ACKNOWLEDGED BEFORE ME THIS /
BY lipnt J'A-r-01 I T L
PRODUCED 34. d r, JZ (
OF
COMMISSION NUMBER
SLCPDSD Revised 04/112011
/ -/6 -114-
Date
n 1 20149-.
KNOWN TO ME () OR WHO HAS
AS IDENTIFICATION.
,ppRey
(SEAL)
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Building & Code Regulations Division
2300 VaGINIA AVENUE
'FORT PIERCE, FL 34982-5652
(772) 4624553
FILLED LAND AFFIDAVIT
I. the undersir_rled, am the owner of the following described property,
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number l`t0li 6130 , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.010)), 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.
STATE OF
BY
PRODUCED 1JL, �((���^�•
SIGNATUREOFN ARY PUBLIC
COMMISSION NUMBER
S P D v' ed 04/I 2011 -�
�a�$�a,, ANGELA M HUFF
°`, ,`�: Notary Public -State of Florida
- e Commission # FF 234730
=; F My Comm. Expires May 27, 2019
''%°����'� Bended through Nationz Notary Assn.
DAY OF
KNOWN To ME (El OR WHO BAS
^^ AS IDENTIFICATION.
IOT'Y'
(SEAL)
tl" $ �•,,,
Notary of FloridaCom
=HUFFUFF
234730My
Comay 27. 2019
0cndedt
Nolary Assn.
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