HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 , `(�/V(��N�®
(M) 462-1553 BY
S4. LUI,I�.I/ll��ly'
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcelld#/Legal
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 5LC—l�?j(p 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.
The Leatherwood Company
Pro erty Owner Name (Please Print)
4/15/2013
Propefy Owner Signature I Date
'PLORI A, UNTY MSS.D>��t CT �"1' lAi1tA1T�1�
ACKNOWLEDGED BEFORE ME THIS I-T DAYOF Aar11 .20 I3 ,
BYT)Q�Jf l Wu IOLhI'n WHO IS PERSONALLY KNOWN TO ME V OR WHO HAS
RODUCED
C"—T
SIG TURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 08242010
TYPE OR PRINT NOTARY
AS IDENTIFICATION. -