HomeMy WebLinkAboutFILLED LAND AFFIDAVITA t
PLANNING & DEVELOPMENT SERVICES DER.
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
St. Luc eQ)ucgv
JUN 17 ; eig
S% Lucia
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following describy d property,V2-7 SOZ'oad6
(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 , 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.
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE f4ETHIS � DAY OFF
Im
COMMISSION NUMBER
IS PERSONALLY KNOWN TO ME_ OR WHO HAS
AS IDENTIFICATION.
(SEA . YP�Bo�, SHERRI FEHLMM
+ Cemmisslon # GG 187160
9jeOF FIOP\oe 8p daddji, �4)'2022
OIMCPD
SLCPDSD Revised 08/24P-010