HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. Lu •'I -
O R 1 D'A
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
0Zo) -o35v
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
(Tax ID/legal
SCANNED
BY
St. Lucie County
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number 0:3 = S$ 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.
CENrE)( PoME.S
Property Owner Name Property O ner Signature Date
STATE OF FLORIDA. COUNTY OF PALM OE AC-14
ACKNOWLEDGEDBEFORE ME THIS - DAY OF �, 2001
OMIT) MIT) NBRAms WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
As IDENTIFICATION. NOTARY PUBLIC -STATE OF FLORIDA
Jennifer Balton
^ �issis8-#DD33}s21
SIGNA E OF NOTARY TYPE OR PRIN E TR4 %:R NOAS 15, 2008
Bonded Thn Atlantic Bonding Co., Inc,
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER