HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
(772)462-1553
— - MAR 12 2019
FILLED LAND AFFIDAVIT
ST. Lucie County, Permitting
SCANNED
BY
I, the undersigned, am the owner of the following described property, St. Lucie County
tA-) -I LI _c n I _ hnQq —ev-,n 'W ) - —IesP,-,Daf - C 043-nov F—?PkP-1' Lur 9 9
(Parcel Id#/Legal description/Address) ( /-1 • `1 LP ftL ) LCJ r-- '-ram I I I
Navion Dy.
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.
Pro Owner Name lease Print)
Property Owner S gnature Date
STATE OF FLORIDA, COUNTY OF �i I 1 ,i Li �-
ACKNOWLEDGED BEFORE ME THIS DAY OF 1� ��L�-ll--� t/1 �/ • 20 19
, BY _ 1 E� I WHO IS PERSONALLY KNOWN TO ME C)( ) OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
V u U3094-3- COMMISSION NUMBER
SLCPDSD Revised 04/112011
8aitr.
TYPE OR PRINT NOTARY
ahk'i�l . Breler
ComaPaula llwilnSgE,�Cj030fl43
Expi eSiNmbar 15,2020 Banded Nany
nnnuo