HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Address)
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 Gable to provide for, or -maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
joi4 F /2 i CIO
Pro erty Owner Neaxe{P1 a Prin
Property Owner Signature Fate
STATE OF FLORIDA, COUNTY OB I- k jtL - t
ACKNOWLEDGED BEFORE ME
TtHS ({{J DAY OF L-L _ 20
BY PIll-Q6k YAELILZ"!/kWfi0 IS PERSONALLY KNOWN TO ME(ElOR WHO HAS
PRODUCED %/-,- AS IDENTIFICATION.
SIGNA,�TURE OF NOTARY&OBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/112011
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TYPE OR PRINT NOTARY
(SEAL)
a