HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNLU
FILLED LAND AFFIDAVIT BY
Sf. uriPrn1mt'•
I, the undersigned, am the owner of the following described property,
3'lla-5oa-00t97- C)Cg-z! 700/ S. svoIAN R,✓1= IL
OL.M STj:-ail PIAC�— S/n /_3TA1'6R'R5'94'*
(Parcel Id#/Legal
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.
D/ ,4 A)r Ay/L /-/ fI -S
Prer Name e Prin
----:? property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFOREI ME THUS DAY OF 20�,
BY �`l UYY �V 1,t I LJy�WHO IS PERSONALLY I' OWN TO ME CZOR WHO HAS
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SLCPDSD Rwimd 04/112011
AS IDENTIFICATION.
TYPEOP-PRINT NOTARY
(SEAL)
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