HomeMy WebLinkAboutFILLED LAND AFFIDAVITCOUNTY
F L O
-R I
D A
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE C�nAff,1111C,A
FORT PIERCE, FL 34982-5652 'SS�J/'��tlCtl�"
(772) 462-1553 BY
St. i_ucie Gounb
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
i3o/ (oaf-o?A/_oap�G 76o6 dve3<eRe1
(Parcel Id#/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.
?0'+r"r',.0 �0 ss
"erty Owner Name (Please jnt)
Owner
STATE OF FLORIDA, COUNTY OF
-12 - 2v1-0
Date
ACKNOWLEDGED/BEFORE
ME THIS I DAYOF 1 20
BY I6 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
`f MOV"7
SLCPDSD Revised 08124/2010
AS IDENTIFICATION.
ByfftfAw
TYP OR PRINT NOTARY
IJ
BRRTANY SMrrH
y; NIY COMMISSIONCEE 026613
EXPIRES: September 16, 2074 i>
Bonded h. Notary PubFCUMeraiilers