HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
t 2300 VIRGINIA AVENUE
r FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
SCANNED FILLED LAND AFFIDAVIT SEP 0 9 , ,jq
By ST. Lucie County, Permitting
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 , 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.
operty er Name ' t)-
Pry Owner Signature Date
STATE OF FLORIDA, COUNTY OFInar fill
ACKNOWLEDGED BEFOR/"EE ME TTHIIS�, ?—DAYOF � �C 20 L�
BYi�)1�/T/Dn 1 R.[l"ITU" WHO IS PERSONALL14NOWN TOME(I. bORWHO HAS
IDENTIFICATION.
bba,x %yvell
TYPE OR PRINT NOTARY
lam+ � / �NmSSION NUMBER
(SEAL)
"'°i• LINDA FE.RRELL
•�e'�. state of Florida -Notary Public
•t Commission H GG 270064
SLCPDSD Revised 04/11/2011 %;oe°;' My Commission Expires
October 22, 2022