HomeMy WebLinkAboutFILLED LAND AFFIDAVIT• 40 l cl ma--oo-1 OL-,
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 SCANNED
BY
FILLED LAND AFFIDAVIT St. Lucie County
I, the undersigned, am the owner of the following described property,
5"313 olao Amedpf P/oc
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Fin Develop ment Permit. In
er
accepting this Final Development Permit, BP Numb0 -CU;-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.
lrrope ner Name (Please Print)
Property Owner Slgna re Dafte
STATE OF FLORIDA, COUNTY OF SQI q+ I A �Q
ACKNOWLEDGED BEFORE ME THIS II DAY OF may, 201�
B ""'I ��t�� 61� &+d tWl� WHO IS PERSONALLY KNOWN TO ME (UCJ) OR WHO HAS
SLCPDSD Revised 04/11/2011
ATION.
(SEAL)
PATRICIA ANN GRIFFIN
b, MY COMMISSION N 0011?624
EXPIRES Septombdf 26, 2621