HomeMy WebLinkAboutFILLED LAND AFFIDAVITM
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
11647 TWIN CREEKS DR Parcel ID: 2333-601-0014-000-5
(Parcel I491Ugal 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.
Susan Moms
Pro ert;l Owner Name (Please Print)
a�Fr
Prop ner Signature e
STATE OF FLORIDA, COUNTY OF s, 6
•.czeq
ACKNOWLEDGED BEFORE ME TIES Vi DAY OF 20 1 \ >
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
2! .COMMISSION NUMBER
SLCPDSD Revised 04/112011
IDENTIFICATION.
CM Los Kus'rqt
TYPE OR PRINT NOTARY
ode Nola#WOWState of Florida
Cellos G Kuster
' My Commission GG 248216
o, ro� Expires 08/0712022