HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 _
-- -- - --—(772)462-1553 - LFEB
CEIVFr1 FILLED LAND AFFIDAVITCounty, permitting.
I, the undersigned, am the owner of the following described property,
Z. 006•2-
(Parcel Id#/Legal description/Address)
022 ni W. PA0CL11F'FF WAy
QAtm C-4-/., FL 3 &1 q96
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.
Name (Please Print)
Z—Ia—ZOtg
Date %
STATE OF FLORIDA, COUNTY OF ST W CI6
SCANNED
BY
St. Lucie County
ACKNOWLEDGED BEFORE METERS � DAY OF �, 20
.�Ll BY �V7V&C,. O Z Q..r wuo Is PERSONALLY KNO TO MEQ OR WHO HAS
PRODUCED AS IDENTIFICATION
SIGOFNOTARYPUBLIC TYPE OR PRINT NOTARY
` COMMISSION NUMBER
(SEAL)
SMY COMM1551UN 1{ mu wv�rvv
LCPDSD Revised 04/11/2011
EXPIRES: June 11, 2021
L ggtdedTteu Notary PtffXUedOrwdlK4