HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
�l (772) 462-1553
JAN 2 9 "gI9
ST. Lucie
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
am�roie®ama, o,¢emaq omuxwvm ¢r�irswrtmt�memeew�cm�.®a.sew,�mo„nr.an.wsx®masmwar.feemism, srrmon..a �.asom
(Parcel IdWLegal 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.
Charles Victor Combe II
Property Owner Name (Please Print)
Propea5r6wner Signatlse Date
STATE OF FLORIDA, COUNTY OF7;�i:C,44 %aICPJ"�,-1
ACKNOWLEDGED BEFORE ME THIS n� DAY OF IJA��Y , 20 6 9
BY C�-1 A tL Lim t�r6C WHO IS PERSONALLY KNOWN TO ME lL24) OR WHO HAS
PRODUCED <1 , AS IDENTIFICATION.
SI ATURE OF NOTARY PUB 1 TYPE OR PRINT NO ARY—
1[o COMMISSION NUMBER
(SEAL)
MARCY GREEN
• "` ,
MY COMMISSION # GG001648
SLCPDSD Revised 04/112011 •')o,n EXPIRES June 13, 2020
(407) 398-0167 R0ddaN..ryServae.c=