HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED 10 20:9
St. LucBY
county FILLED LANDS AFFIDALMAY
cle County, pern
I, the undersigned, am t e owner of
the following described
esT� g property, /,3Z7 �D/ Q09Z' Lbd -�
(Parcel 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.
1 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 dry inage off my property which will not adversely affect the immediate
Print)
Property
STATE OF FLORIDA, COUNTY OF U - 144 /A'C
Date
ACKNOWLEDGED BEFORE ME THIS 2-2 DAYOF
BYWffli 4 �-IlINJh!✓ WHO IS PERSONALLY KNOWN TO ME v OR WHO HAS
AS IDENTIFICATION.
COMMISS�N NUMBER Rebecca Dima
klaV:��6�.
• (SEAL) r � � Commission 6 GG060876
Expires: January 9, 2021
„? Fa has Bonded thru Partin Notary
SLCPDSD Revised 08P-4r010