HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
I� BUILDING & ZONING
w 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 SCANNEE)
561-462-1553 13Y
` R 84'.IadeCounty
FILLED LANDS AFFIDAVIT
I, the undersigned, am the
Crax
described
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.
Property Owner Name
STATE OF FLORIDA, COUNTY OF
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS Nf DAY OFpkvu ?d
BY 1,0 11104, , . AjkQf) 4 I0@,) Wf iOISPERSONALLY rrMn���r r Tn ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
S��T� ILL
OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
o4,tl o&a4 Christina Kelly
Eg�
Commission # DD5179BB
,
,�OF W Expires Febf`v 14,2010