Loading...
HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES NT Building &Code Regulations Divisi n RECEIVED 2300 VIRGINIAAVENUE FORT PIERCE, FL34982-5652 JUN 20 2019 (772) 462-1553 HT, Lucio Coun ry Permitting FILLED LAND AFFIDAVIT SC NNEL) BY I, the undersigned, am the owner of the following described property, St. Lug(e ebUnty 34ba.- (a66-o4c>3-oo©-LI (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 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 Na e(PleasePrint) Property Owner Signature Date STATE OF FLORIDA, COUNTY OF s'1 • ACKNOWLEDGED BEFORE METHIS �,a DAY OF 7Jhk .20 4 \ Bv\Ls..r��h \�4it�j WHO IS PERSONALLY KNOWN TOMEL—)ORWHO HAS F Vpt— SIGNATURE OF NMTARY PUBLIC COMMISSIONNUMEER SLCPDSD Revised 04/112011 IDENTIFICATION. Cr \ -Je.^A S .. ��N#e0 J?IU2' nµtI,1S510, i 16,2Q� ; M'I CiSF�;cetntvz"GUnJ" `''fit,