HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 PrtC5IVP_D
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
JUN 04 2019
ST. Lucie County, Permitting
SN N
BY
St Lucie counly
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 140� I acknowledge
that as owner of the above described property, and m 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.
uo %�� x o �i
Prop a Owner Na a lease Pnnt
&t) a a�,f� 1, -�J - 19
Property Owner Signature Date
STATE OF FLORMA, COUNTY 0 ka C{hj
ACKNOWLEDGED BEFORE ME THIS DAY OF () U or, .20_ff�
gy e- 1 WHO IS PERSONALLY KNOWN TOME (_� OR WHO HAS
TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
""'• KAREN S. NIELSEN
j �.; State of Florida -Notary Public
-'P Commission # GG 207484
SLCPDSD Revised 04/1120I1 �'�•`�°;,R°My Commission Expires
June 12, 2022
IDENTIFICATION.