HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,PL34982-5652 RECEIVED
(792)462.1553
FII,LED LAND AFFIDAVIT MAY 0 8 2019
ST. Lucie county, Permitting.
I, the undersigned, am the owner of the following described property, SCANNED
BY
3 YO 3 - SO I - o a 141 - lloe-a St. Lucie County
(Parcel Id#/Legal descrlpflon/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 Varne (Please Print)
a 1�
Property Date
SIATEOFFLORIDA, COUNTY OF 5+-L.U(4?
h LC 6
ACKNOWLEDGED BEFORE ME THIS DAY OF �r (Y%�`c\. .20 1
BY t I MU� O�CC001�O IS PERSONALLY KNOWN TO M([ffOR WHO HAS
PRODUCED AS IDENTIFICATION.
20wi ,8^
SIGNATURE OF NOTARY PUBLIC
GG 0339� 11COMMISSION NUMBER
SLCPDSD Revised 0411In0I I
TYPE OR PRINT NOTARY
.••, "M>M GODDARD
=ajt Notary Public - State of Florida
a Commission • BIG 033219
5 My Comm. Expires Sep 25. 2020
Bonded mrou9N National Nola,y Assn