HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division ----
2300 VIRGINIA AVENUE R E-M5b
FORT PIERCE, FL 34982-5652
(772) 462-1553 I H I. 91
2019
FILLED LAND AFFIDAVIT sr. Lucie County, Permitt ng
SCANNED
BY
St. Luciecountv
I, the undersigned, am the owner of the following described property,
2310.5()j,
(Parcel Id#/Legal
Phase IIA Morningside Phase IIA
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.
r Name (Please Print)
V\n F
Signature
STATE OF FLORIDA, COUNTY OF St. Lt c—le,
C —C
Date
ACKNOWLEDGED BEFORE ME THIS 3-DAY OF JI.II LI ,20�,
BY L I S 1, ran t'�Ip _ M. ` A WHO IS PERSONALLY KNOWN TO ME (Z OR WHO HAS
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
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