HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
RECEIVED (772) 462-1553
MAR 0 4 2019 FILLED LAND AFFIDAVIT SCA
ST. 6uele Eeentr permitting St CUcs y -
ie
ty
I, the undersigned, am the owner of the following described property,
(Parcel I&/Legal
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.
Ro &'�}—
Prop
e
rty O er Name (Please Print)
Property Owner Signature
Date
STATE OF FLORIDA, COUNTY OF
AQXNOWLEDGED BEFORE tW THIS DAY OF
WIIO IS PERSONALLY KNOWN TO ME (� OR WHOTIAS
TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
"`�°`> % NANCY MIMS ARMSTRONG
MY COMMISSION # FF7g7ggg
"'?,a:+'•' EXPIRES Februa
SLCPDSD Rmised 04/II2011 p9])39r � �Y 10, 201y
Flaritlallo!aryg¢rvi.¢.�
AS IDENTIFICATION.