HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division -
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
RECEIVED
FILLED LAND AFFIDAVIT JAIv 2 4 651
ST. Uucie COu'E rem, 11y« � -,$C
I, the undersigned, am the owner of the following described property, s�`4Q�s yNFC
4g�a Pine�ree Dr PaCP*5 40a.-60d,-oc�a-oc�-a `'0%,
(Parcel Id#/Legaldescription/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
St Lucie
"I
-a
Date
ACKNOWLEDGED BEFORE ME-TMSrydw1 DAY OF J W 1 tA1(JU U .20 I q
BY�ITft�I It LUId(1(;l 111(,� WHO IS PERSONALLY KNOWN TO ME LX ) OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
&G D 3QVg3 COMMISSION NUMBER
SLCPDSD Revised 04/112011
IDENTIFICATION.
Paula S. Breier
TYPE OR PRINT NOTARY
a ` :isf//,, Paula S. Breier
Cognn AMAV) GG030843
Expires: September 15, 2020
Iti. �s� Bonded thru Aaron Notary