HomeMy WebLinkAboutFILLED LAND AFFIDAVIT7
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division RECEIvrs
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34952-5652
(772)462-1553 JUN 06 2019
ST. Lucie County, Permitting
FILLED LAND AFFIDAVIT
SCANNED
I, the undersigned, am the owner of the following described property, BY
5�'v St. Lucie County
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie 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 iIi 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 er Name caselprin
Property Owner ignat e Date
STATE OF FLORIDA, COUNTY OF
BY
PRODUCED
SLCPDSD Revised 04/11/2011
COMMISSION NUMBER
)AY OF �, It 1 A , .201-9—
IS PERSONALLY KNOWN TO ME C_ ) OR WHO HAS
AS IDENTIFICATION.
TYPE ORP N T
KAREN S. NIELSEN
State of Florida -Notary Public
Commission p G 484
My CommissioiiVres
June 12, 2022