HomeMy WebLinkAboutFILLED LAND AFFIDAVITBuilding & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
39U� DUNE SIDE
IftLegal dwAption/Address)
RFc
✓.Q� F��FO
oe 2g
s
4�r/gOepd�
orn�n2e�r
SCANNED
BY
St. Lucie County
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.
C(IRIS ALZC-P�
Property Owner Name (Please Priat)
/ Cam:
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF_C 1 ' w6 l
Pf
AC�C/N� WLEDGED BTgL/pplFn71 ME THIS DAY OF 20 Iy
BY 7 1 I JI —y_WHO IS PERSONALLY KNOWN TO ME L—) OR WHO HAS
VUN f
COMMISSION NUMBER
SLCPDSD Revised 04/112011
1 7 M LWMVL NUANY
ANGELA BORSODI.8 II iAM
?,�.. Notary Public -5ta rida
Commission � GG 249625
`o My Comm. Expires Aug 16. 2022
Bonded through National Notary Assn.
IDENTIFICATION.