HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 Q(�������
(772) 462-1553 WM .D
BY
FILLED LAND AFFIDAVIT S'LMeC08I1l4/
I, the undersigned, am the owner of the following described property,
1403-500-0022-000-5 / Avalon Beach PUD (PB 55-19) BLK 2 Lot 6
(Parcel Id#/Legal
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 conmamity 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 lkor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Date
STATE OF FLORIDA, COUNTY OF rL-
ACKNOWLEDGED BEFORE ME THIS DAY OF _) C'JI-L , 20—L�'
BY WHO IS PERSONALLY KNOWN TO (U OR WHO HAS
PRODUCED
SG ATURE OF NOTARY PUBLI
COMMISSION NUMBER
SLCPDSD Rmiud 04/112011
IDENTIFICATION.
— rk CL� C1A-P- rr ., -
TY OR PRINT NOTARY
(SEAL)
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