HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGMA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT MAR 0 5 °Oj9
ST. Lucie County, Permittin
SCANNED
I, the undersigned, am the owner of the following described property, BY
St. Lucie County
442570300470006, Lot 42 Riverbend, 3045 NW IFisNig Radcliffe Way
(Parcel Id#/Legaldescription/Address)
Palm City, Florida 34990
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.
6y-1l VVk WSJ
Property Owner Name (Please Print)
i
Property Owner SignatureDate'
STATE OF FLORIDA, COUNTY OF I ox—b j
ACKNOWLEDGED BEFORE ME THIS .1p DAY OF
BY
WHO IS
,
KNOWN TO (� ORR WHOO HAS
M1I03OYIIiURK41cord
Cr��C%MSSION NUMBER
SUE C.ZACHMAN
(SEAL)
EXPIRE S F ON#GGI64605
ry 05, 2022
SLCPDSD Revised 04111/2011