HomeMy WebLinkAboutFILLED LAND AFFIDAVIT' . PLANNING & DEVELOPMENT SERVICES DEPARTMENT
. Building & Code Regulations Division
• 2300 VIRGINIA AVENUE
• FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANIVE®
BY
St, Ude County
I, the undersigned, am the owner of the following described property,
Q��, 4N6 -acts-oao -4l
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this. Final Development Permit, BP Number M. &0633 , 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 far 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.
o e Owner Name (Please I'd
,Brerty Owner Signature Date
SPATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE NETHLS 3�51- DAY OF 1"`�c.., .20 19
BY�f1l�lS E- I—�I.2.� WHO IS PERSONALLY KNOWN TOME(JOR WHO HAS
SLCPDSD Revised 04/1120I1