HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 SCANNED
(772) 462-1553 BY
St. LucieCounftl
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
Lot Phase IIA Morningside Phase IIA
(Parcelld#/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 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.
ro erty Owner Name ase Print)
/Qe nay 2S %Y1o2v1n95/� L
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF St. /—UC/C
ACKNOWLEDGED BEFORE ME TIES ;? -1 DAY OF �,� �I , 20�,
BY .LIsA Sri r/ 1� WHO IS PERSONALLY KNOWN TO ME d ie OR WHO HAS
AS IDENTIFICATION.
SICNAtURE OF NOTARY UBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
olBrreue` RHONDASROWE
SLCPDSD Revised 04/11/201 I i n. Commission # GG 104656
y Expires May 19, 2021
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