HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGRZA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVE D
(772)462-1553
MAR 0 4 2019
FILLED LAND AFFIDAVIT
5T. Lucie County, Permitting
SCq
I, the undersigned, am the owner of the following described property, .St. 4Ucl13),O
CouO
F'i »Q �tY
(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.
A6Le- ( 3 akal
Property Owner Name (Please Print)
R x lI "/-),3 l
Property 0 7rwne gnSirwne gnS ature a D to
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _ DAY OF (X ""' , 20
BY
C01,MSSION NUMBER
SLCPDSD Revised 04111l2011
(SEAL)
E
N4NCYMMMCMMISEXPIRESFi3 Flyballo�ary`�^"
0 OR W110 HAS
IDENTIFICATION.