HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 SCANNED
B
FILLED LAND AFFIDAVIT St. Lucie County
I, the undersigned, am the owner of the following described property,
80/5 PZt J lio^1 /A4Ps
(Parcel Id#/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.
V incen:Emia2ce I I i' viv
Prrop)erty Owner Name (Please Print)
v���
Property Owner Signalise Date
STATE OF FLORIDA, COUNTY OF C • LU 0_l_Q
ACKNOWLEDGED BEFORE ME THIS l'S DAY OF 2oj(,
BY,;V 1 n CD4 MaM Q Q ��WHO IS PERSONALLY KNO TO ME (_ I OR WHO HAS
IDENTIFICATION.
('WlPPA LejlLQrs
TYPE OR PRINT NOTARY
F-- tP716) COMMISSION NUMBER
COLLEEN RFMt S
NOTARY PUBLIC
o , STATE OF FLORIDA
Comm# FF0659W
SLCPDSD Reis d04/II201l Expires 10/24/2017