HomeMy WebLinkAboutFIILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
o Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
(772)462-I553 RECEIVED
SCANNED FILLED LAND AFFIDAVIT JUL 3 0 2019
BY
%t. LUP.ipf omb ST.. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
3 �> b 3 - 2-2'-22-1b o01 -- coo-q
(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, 1 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.
Pya r� Srelrj-
PropsPrope t— ty Owner NaNatne (Please Print)
-�2 _�e� as-
Pro rtyOWne Signature Date
STATE OF FLORIDA. COUNTY OF�r�11 1.44G'V -` 1��I"""
ACKNOWLEDGED
BEFORE
IDtE TNIS DAY OF CJ �Iy���� _ ,20
BY �V - �lYr'CIe C'S WHO IS PERSONALLY KNOWN
TO
NIE(_) OR WHO HAS
PRODUCED • �Cs� � L,t/�Y1S� S\(� 1 J.� �O r�( ASS IDENTH (CATION.
1 lY
SLGyNA'r RE F, rA PL' LI ,EO RIAR
19OR OMMISSIONNUMBER
V'0.YO� Notary public Slate d6glAiida
� Kayleigh Bogert
g My Commission GG 274003
'1orw� Expires 1 V05/2022
SLCPDSD Revised 04!1112011