HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT ftCFtPFO
perrnMgB � 61�18
St <p epC u tyQnt
I, the undersigned, am the owner of the following described property, SCANNED
ie Dsu /J� St LiJcie Col n
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Fin Development Permit. In
accepting this Final Development Permit, BP Number V, 010 I acknowledge
that as owlier, 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.
A Niles �r5t3Y
Property Owner e (Please Print) 3
Property Owner Signature Date g ��
STATPnVFT.nRTDA COTINTYOF v, tuQie
yd�'t
ACKNOWLEDGED BEFORE ME TIES �V L
DAY OF �1 .20�
By 1 1 T1 w� 1� W HO IS PfRSON(LLY KNOWN TOME Zb OR WHO HAS
PRODUCED kLuvEl� ` AS IDENTIFICATION.
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SIGNAT NOTAY PUB IC TYPE OR PRINT NOTARY
(SEAL)
t MARIA CORDERO
NOTARY PUBLIC
SLCPDSD Revised 041112011 — STATE OF FLORIDA
ComndFFF233780
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