HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
RECEIVED
FILLED LAND AFFIDAVIT[ AUIi "g
T. Lucie Countyl PP.rtntl4il14
SCANNED
I, the undersigned, am the owner of the following described property, BY
le—,,, 0 , 0, , _ _ _ -- _ - „ N%t. Lucie COUTh
(Parcel
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.
(0,11ka, 3� "Mr
Property Owner Nam (Please Print)
ropy erty Owner Signature to
STATE OF FLORIDA, COUNTY OF, &11 At &AC.I Q
ACKNOWLEDGED BEFORE ME THISy; DAY OF ZO-fl—
BY �JI �,,Q,fjM WHO IS PER ALLY KNOWN TO MEC� OR WHO HAS
PRODUCF 0!0 AS IDENTIFICATION.
NA CURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
WCOMMISSION NUMBER
(SEAL)
)))° PATRICIA ANN GRIFFIN
' MY COMMISSION # GG137624
SLCPDSD Revised 04/11/2011 EXPIRES September 26. 2021