HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES -DE
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, -am the owner of the following described property
2311-123-0001-000-6 350 N. Rock Road, Fort Pierce, Florida
(Parcel Idk/Legal description/Address)
FEB 0 7 2013
Sr. Lua=rmitting
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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.
A,P6g&T L..fNamE
Property Owner Name (Please Print)
"7C.-1- `J 01-31-18
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME THIS 31 st DAY OF January 20 18
BY Robert L. Snowe WHO IS PERSONALLY KNOWN TO ME (La a OR WHO HAS
PRO UCED AS IDENTIFICATION.
Roger A. Priest
IG UR—E7,O/F_N TAR PUBLIC TYPE OR PRINT NOTARY
oIo lYB! COMMISSION NUMBER
Ri3bER A. PRIEST
Notary Public - State of Flodtle
Commission ♦ GG 010740
My Comm. Expaes Nov 7, 2020
SLCPDSD Revised 04/11/2011 ' , n n . Ilbnded 111lougn National NblYy Assn.