HomeMy WebLinkAboutFILLED LAND AFFIDAVIT0 PLANNING & DEVELOPMENT SERVICES DEPARTMENT
I Building & Code Regulations Division
2300 VIRGINiA AVENUE
FORT PIERCE, FL 349&2-5652
(772)462-1553 SGAN ED
FILLED LAND AFFIDAVIT BY
��. Lucie �ollnft
I, the undersigned, am the owner of the following described property,
9046 Pumpki:
(Parcel Id#/Legal
RD Saint Lucie West, FL 34986
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permh,'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-
ISTATEOF
r Nam 1 se Print)
er Sign uce
IDA, COUNTY OFI,[LCIE
ACKNOWLEDGED BEFORE ETHIS�DAY OF I 20 / / -
BY L WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
249625 COMMISSION NUMBER
SLCPDSD Revised 04/112011
IDENTIFICATION.
M
LA BORSODI-BIRMINGHAMry 4SENd.)State of Florida.
mmission:'GG249625
mm. Expires Aug 16, 2022rough National Notary Assn.