HomeMy WebLinkAboutFILLED LAND AFFIDAVITi
PLANNING & DEVELOPMENT SERVICES DEPART ME
RECEIVED
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 APR 2 4 2019
(772)462-1553
ST. Lucie County, Permitting
FILLED LAND AFFIDAVIT
SCANNED
BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
3
Ugal 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 liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Owner Na a (PI . se P, in[) /
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF - \
ACKN���7w�EDGED BEFORE ME �THISDAY OF 1 20 19 .
WHO IS PERSONALLY KNOWN TO ME L_) OR WHO HAS
l &WY3jf COMMISSION NUMBER
SLCPDSD Revised 041112011
LTION.
(SEAL)
APAr ft� Notary Public State o1 Florida
Ann M Giosi
g fir• My Commission GG 30031 e
%!e„�d� Expires 02/11/2023