HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL.34982-5652
(772) 462-1553 SCANNED
BY
FILLED LAND AFFIDAVIT St. Lucie County
1, the undersigned, am the owner of the following described property,
U15
(Parcel ld#/]Legal dcs ript➢on/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 a cordance 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.
1 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.
"%,' C iv -
Property OWner Na lease rint
Property Owng • lure Date
STATE OF FLORIDA. COUNTY OF 13a I r�l '1 /M C'I
ACKNOWLEDGED BEFORE ME THIS 16 DAY OF e 1, , 20�,
BY WHO IS PERSONALLY KNOWN TO ME (11 OR WHO HAS
IDENTIFICATION.
oy) �a SPh
IGNATLRE VF NOT ARY PUB C TYPE OR PRINT NOTARY
COMMISSION NUMBER
SE
Publk - Slate of Florida
1�4 Commission S GG 255040
My Comm. Expires Sep 3, 2022
SLCPDSD Revised 01/11/2011