HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
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FILLED LAND AFFIDAVIT 19, !UC B?k
I, the undersigned, am the owner of the following described property,
2329-502-0007-000-6
(Parcel IM/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.
Christopher Day
Property Owner Name (Please Print)
2 9-/7
riT op�erty Owner Signature � Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED nEDG, ED BEFORE M4 WHO E ME T DAY
S PERSONALLY KNOWN TO ME (El OR WHW
PRODUCED `O 1'
SIGNATURE OF/ NOTARY P IC
GG'I I�I O OMMISSION NUMEER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
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Notary Public —Stale of Florida
„sP'Commission
p GG 161847
My Comm. Expires Feb 9, 2022