HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 j'—'—
(772) 462-1553 R1
FILLED LAND AFFIDAVIT I SEP 12 2019
ST. Lucie
BY
I, the undersigned, am the owner of the following described property, St. wr p.roRiililI
L
(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.
Re_na
Property Owner Name (Please Print) �)
Properlll' w er Signature
STATE OFFLORIDA, COUNTY OF S-k Lu L/e-.
L,LC,
Date
ACKNOWLEDGED BEFORE
LQ1'FORE ME THIS �� DAY OF Syn b' � ,20,
BY i--t -sk r V'r I • F�c_t eA WHO IS PERSONALLY KNOWN TO ME(a OR WHO HAS
TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
RHONDASROWE
Q47�„PUBd�
Commission#GG 104656
SLCPDSD Revised 04/112011 y
Expires May 19.2021
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aceded Tlau Budget Notary Services
IDENTIFICATION.
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