HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
im Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
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FILLED LAND AFF "'tGANNED 4 �4" �1
BY `°°90 o�
St.LUdeCounk P °n P�2
I, the undersigned, am the owner of the following described property,
12321 S
for which I have applied to St. Lucie County for a Final Development Permit. In
I
accepting this Final Development Permit, BP Number Q 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.
51�
Property Owner Name (PI a Print)
Property Owner Signature DatI I
w e
STATE OF FLORIDA. COUNTY OF STLUCIE
ACKNOWLEDGED BEFORE ME THIS DAYOF(JL4h 20 I /
BY „JUII.7 My � WHO IS PERSONALLY KNOWN TO ME(0) OR WHO HAS
N-- ANGELA BORSODI-BIRMINGHAM
NAT EOFNOTARYPUBLIC
SI TYPE OR PRINT NOTARY
GG249625 COMMISSION NUMBER
:;o%(.�_) ANGELA BORSODI-BIRMINGHAM
'�': �'•• Notary �, •� . y Public - State o(floritla
`��,y�' Commission GG 249625
" .pr h`.ff' My Comm. Expires Aug 16.. 2022
SLCPDSD Revised 04/11201I Bonded through National Notary Assn.