HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 SCANNED
BY
FILLED LAND AFFIDAVIT »t. Lurie countv
I, the undersigned, am the owner of the following described property,
M
(Parcel IdN/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.
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Prope Owner Name lease Print)
Property almer Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS / ' / DAY OF
BY
SLCPDSD Revised 04/11/2011
MEL JORWHOHAS
—AS IDENTIFICATION.
(SEAL)
:�;;:>�••. AUDREYa.HUMPHREY
��' �;: MY COMMISSION t1 GG 300817
�" EXPIRES: March S, 2023
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