HomeMy WebLinkAboutFILLED LAND AFFIDAVIT8CA'VNR®
———St-�ucie county
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described. property,
(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.
F�<ZG7c-i� ',9er'4CVin £'
Property
qame lease Pr'Property Ownee`� 3
to
STATE OF FLORIDA. COUNTY
ACKNOWLEDGED
D BEFORE ME`IHIS DAY OF J_\_1^(!� \ .20
BY �tJQQ.(� '� 61gZA P����[' ��j�l� O IS PERSONALLY KNOWN TO MEy OR WHO HAS
PRODA�CED — ' V Y
1 AS IDENTIFICATION.
COMMISSION NUMBER
-OAJ la 0 K =wQx-
TYPE OR PRINT NOTARY ��
i` DAVID N. KNEPPER
.- Commiss15606D 995518
-' '7f Expires September 25, 2014
- R NO �n
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SLCPDSD Revised 08/242010