HomeMy WebLinkAboutFILLED LAND AFFIDAVITa
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANNED
BY
Si. Luria Chanty
I, the undersigned, am the owner of the following described property,
0 'MoLo Lr ne_ 12311 -1"oI-oo(Do-
(Parcel Id#/Legal description/Address)
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 (PI Pnnt)
Property Owner Signature L L' Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE MEfTHI /�DAY OF / 20—a
BYBr(O 6 VEIS W J e—V/f S WHO IS PERSONALLY' N WN TOME (K ) OR WHO HAS
PRODUCED
�SI�GNATURE OF NOTA PUBLIC
�13��08�:3 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
Paula S. Breier
PRINTNOTARY
4 1 W. Commission 9�GG030343
-" Fxpiree. September 15, 2020
Bonded thru Aaron Notary-