HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENGE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie Countv
I, the undersigned, am the owner of the following described property,
19a3 K(, 40 ,u--F
(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.
H- /9- /9
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 act.
BY WHO IS PERSONALLY KNOWN TO ME CU OR WHO HAS
PRODUCED AS IDENTIFICATION.
rn<<ohP
ATURE OF NOTARY PUBLI TYPE ORPRINT NOTARY
CMG 1 L1 COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/1112011
'sue••. DAWN MILONE
'`- MY COMMISSION N GO 049998
EXPIRES; March 22.2021
`•'•; opd g"d• Bonded Thiu Notary Public Undenxiters