HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPAR
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SL,q
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I, the undersigned, am the owner of the following described property,
2310-500-0002-000/7 Lot 109 Phase IIA Morningside Phase IIA
(Parcel Id#/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.
Property Owner Name (Please Print)
Property Own�t-Signature
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS
COMMISSION NUMBER
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t CommisslOn#GG104656
SLCPDSD Revised 0�}.°` Expires May 19,2021
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IS PERSONALLY KNOWN TO ME 0) OR WHO HAS
TYPE OR PRINT NOTARY
(SEAL)
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