HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 -SCANNED
(772)462-1553 BY
mil' Lucie County
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3q19- 501- 070q- 000 -3 rr. Sr- LCOZIA' ii. 3'05'5•Z
(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 130/-0389 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.
Proppeee Owner ame (Please Print)
Prope�wner�Slgnature a[e
STATE OF FLORIDA, COUNTY OF 5�- L,3,' a-
ACKNOW1LEDGED BEFORE ME THIS �� F n DAY OF / l rc � 20 0 -
By i,,win �(-SSCni WHO IS PERSONALLY KNOWN TO ME_ OR IFLV O�HAS
PRODUCED �rje rS L.IC-anSe AS IDENTIFICATION.
SIG RE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
I O G C� (07 COMMISSION NUMBER
(SEAL)
�'"`'•""(?4;: JOSEPH O BECK
SLCPDSD Rwiud 08/24/2010 MY' COMMISSION # EEi06987
-a�!;,.•' EXPIRES June 27, 2015
(4071098-0753 FMWalloleryService.can