HomeMy WebLinkAboutFILLED LAND AFFIDAVITJL�ECOGy ST. LUCIE COUNTY
BUILDING IAZONING
2300 TPER E, FL AVENUE
FORT PIERCE, FL 34992-5652
��OR10p 561462-1653
FILLED LANDS AFFIDAVIT '94 N
I, the undersigned, am the owner of the following described property:
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number 0(o I I-- 0031) . 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 Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME TH;rIIS-(�- DAY OF
11B'�1Y nnW)21206 -C �' z WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
( zoo' S3 s 61DZ AS IDENTIFICATION.
SIGNATUA9 OF NOTARY TYPE OR PRINT NAME OF NOTARY '
NOTARY PUBUC-ST..A7, OF FLORIDA
NOTARY PUBLIC TITLE COMMISSION NUMBER ' ]3 � 'Goycochea
Commission # DDS89694
Fxp�Tire��s; JULY 01, 2007
BONDED THRUATLL„,C EJSDiSu CO., INC.