HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 V1RG11,11A AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT SCANNEC)
SLucie C
t,ounty
I, the undersigned, am the owner of the following described property,
7152 Maidstone DR Port Saint Lucie, FL 34986
(Parcel Id#/I.egal 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.
Propert f I
Owner Name (Please Print)
Fern Iasi Ie, g 1�
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF ST IF -
I
ACf-C—N{�OW�LEDGED BEFOREMETHIS I4- DAY OF ViQUsf 201
tanBY _n Vas'i le WHO IS PERSONALLY KNOWN TO ME(El OR WHO HAS
249625 COMMISSION NUMBER
:i:••\�.: 30 RMINGNAM
• q .. , t.otary °u�,ic _ State of Floritla
Pr° yOe` My Comm I Ex res A g 16d2 022 SLCPDSD Revised 0411 12011 0onded through Na[iQnal Notary Assn.