HomeMy WebLinkAboutFILLED LAND AFFIDAVIT" �ry
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & COD&:REGULATIONS DIVISION '
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 46y1555
FILLEULANDS AFFIDAVIT
I, the undersigned, am the owner of the follow' described property,
(Parcel Id#/Legal description/Address) / /01
/
SCANNED
B.
St, Lucie County.
for which I have applied to S:t. 'Lurie 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
Signature
SNfi-v`
Date;
STATE OFFLORIDA, COUNTY OF'J/
ACKNOWLEDGED BEP&RE7METHIS_ —7 DAY of /LJ J,20
EY �(�VJ—�1 �U I / �' WHO IS PERSONALLY KNOWN TOME. OR WHO HAS
ASIDENTIFiCATION.
TYPE OR PRINT NOTARY
COMMISSION NUMBER
o m >o�
SHEPRI L FEHIMAN (SEAL)
4 '
My cOMMI5SION IIDD 970155
` *
EXPIRES: Hatch14,20U
+�a,�,;o�°e
BoMedlNu 9udgelNdeO'Seniees
Ra iS,1081242010
.