HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 Rr'Ahl Vc®
3t. Luce county
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal
eS3)">°
F1. ryPyS
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.
Date
STATE OF FLORIDA, COUNTY Ofs�TJ LV LI e_
ACKNOWLEDGED BEFORE ME THIS / DAY OF /T,//�% / 20�
BY y_(v,,(li) �/YIhG"L —I WHO IS PERSONALLY KNOWN TOME(EIOR WHO HAS
PRODUCE 7/ AS IDENTIFICATION.
1 le D
NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
, P No"Pub0c State of Florida
s Kyle Davld Else%
+� My cwmissicn GG 12103e
qcry Exp1m 08/30)2021