HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICESDEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED
FILLED LANDS AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
-?Di- 002-000-9
(Parcel
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 RILL 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.
1 , Mevf o e-fte
Property Owner Nye (Please Print)
A, /3
Propeity Owner Signature
STATE OF FLORIDA, COUNTY OF V
ACKNOWLEDGED BEFORE METHIS � DAY OF 20 13
BY Le, t0\ S _y%'A i Ark 1 WHO IS PERSONALLY KNOWN TO ME _ OR WHO HAS
PRODUCED f-Ln 1. 5353 = 531 — Sq — 3"76 _Q AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
IT,JaMnct. CONMSSIONNLMBER
SLCPDSD Revised 08/242010
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TYPE ORPRINT NOTARY
1;k� p�e� DEANNA GIVENS
,�, '�; (SWA4 Public - Stale of Florida
• • _ My Comm. Expires Dec 16, 2016
®°r Commission N EE 858761
°%`P, ;; ;°� �� Bonded Through National Notary Alan.