HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
33,W-5ai- oo�v-ood/� Toyi
(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.
151250 Is
a
STATE OF FLORIDA, COUNTY OF �� •/✓1 "' ���
ACKNOWLETED BEFORE
nMETHIS
/O " DAYOF ✓� 20 /q ,
BY %K1elY 11ANHO Is PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED Yt-- v&� vvr
wL.� AS IDENTIFICATION.
pit-
ONA /�O�F'1NOTARY PUBLIC
C-) 3 l0 //-aMMISSION NUMBER
TYPE OR PRINT NOTARY
JENNIFER J. BULTEN
NOTARY PUBLIC
-STATE OF FLORI '1
a Comb/ GG350713
Expires 71112023
SLCPDSD Revised 04/11/2011