HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & 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,
(Parcel
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1906-QpQ(�, 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.
aA A -don'ts
Zropy
rer Name (Ple se Print)
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wner Signature Date
STATE OF FLORIDA, COUNTY OF ��uCle
ACKNOWLEDGED BEFORE ME TeHIS__ DAY OF � 201 t
a � BY I� 1J /�{'C ms WHO IS PERSONALLY KNOWN TO ME (25 OR WHO HAS
TION.
6 -�
�ICCOMMISSION NUMBER
^'• PATRICIA ANN GRIFFIN
MY COWISSION 0 GG137624
'� - EXPIRES September 26. 2021
SLCPDSD Revised 04/11/2011