HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
` Building & Code Regulations Division
2300 VEtO11,1IA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED
FILLED LAND AFFIDAVIT S1 L By
ucie County
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legaldescription/Address)
5763
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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.
Tubh
Property Owner Name (Please Print) ,
Property Owner Signature Date
STATE OFFLORIDA, COUNTY OF_S+ 1--uc_y
ACKNOWLEDGED BEFORE ME THIS a'` DAY OF 20 ,
BY �C=5 1 \ L� �� WHO IS PERSONALLY KNOWN TOME ift OR WHO HAS
PRODUCED
SIGNATURY OF NOTARY PUBLIC
FZ W00 CONMSSION NUMBER
SLCPDSD Revised 04/112011
PRINT
(SEAL)
IDENTIFICATION.
JOSHUA A MORSE
'MY COMMISSION # FF24600a
flCI'IRES July 01; 2019
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