HomeMy WebLinkAboutFILLED LAND AFFIDAVITI q U(o -0 L�
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
o Building & Code Regulations Division
3300 VIRGINIA AVENUE
FORT PIERCE., FL 34982.5652 SCANNED
(772)462-1353 C N
BY
FILLED LAND AFFIDAVIT St. LucieCouniv
I, the undersigned, am the owner of the following described property,
6401 S INDIAN RIVER DR FORT PIERCE, FL 34982
(Parcel IdN/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 Iq OG,'( (So . 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 term,
adequate drainage off my property which will not adversely affect the immediate
community.
TERRY HEIZLER
Property Owner Naive (Please Print) ( f�
E�rty�C. wncr Signaturc Oatc
STATE OF FLORIDA. COUNTY OF ST LUCItEE y
ACKNOWLEDGED BEFORE AIETHIS_ / DAYOF-dy._,.,-G.g_.,_
BY TERRY HEIZLER WI IO IS PERSONALLY KNOWN TO ME, 13)OR W110 I IAA
PROf�LCFD DL AS IDEN'I'IFIC 4TION.
SIGN/Arum: OF( NOTARY PUBLIC TYPE OR PRINT NOTARY
6o�7MMISSION NUMBER
(SEAL)
SLCPDSD Rcvi�od (14 H 12011
3"'"`- Joshua Devoe
MY COft.NISSION a 0031760.5,>
EXPIRES- March 28, =3