HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
S
SCANNED
2300 VIRGINIA AVENUE
PIERCE,
EW
FORT FL 34982-5652
(772) 462-1553
St Lucie
County
lylillil�ilt)1I_��
MAY 0 8 2019
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
.4Arnti .f, I,h^
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 liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
4�i l % ttaw-6
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF 3+. LUeie
ACKNOWLEDGED BEFORE METHIS y4h DAY OF klao-h —20�
BY BaW ADMOS WHO IS PERSONALLY KNOWN TO ME d YOR WHO HAS
PRODUCED
CIS AAA \` �A9(A),( �l
SIG ATUUqREE OF NOT.AAY PUBLIC
Dy(L I COMMISSIONNUM13ER
SLCPDSD Revised 04/112011
TYPE OR PRINT NOTARY
J�tPa' FOWLER
MY COMMISSION # GG026169
'? r EXPIRES Novembar 16. 2020