HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300VIRGINIAAVEAit1E ( RECENED
FORT PIERCE, FIL 34982-5652 I
(772)462-1553 SEP 17 Z019
FILLED LAND AFFIDAVIT I ST Lucie county, Permitting
SCANNED
BY
I, the undersigned, am the owner of the following described property,
St. LllriP rmintl/
1301-601-0046-000-6.4901 Green Dolphin St. Ft Pierce, FL 34951
(Parcel Id/i/Legal 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.
Date
S FLORIDA,COUNTYOF St Lucie
ACKNOWLEDG D BEFORE ME THIS DAY OF 20
BY � , (� /) _WHO IS PERSONALLY KN �OR TO ME ( WHO HAS
PRODUCED �./ L, AS IDENTIFICATION.
NATURE OF NOTAJkY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER JossliftAlMaM1e14
NOTARYPUBW
STATE OF FLO )
Cw n* GG732959
E1pIres 3Ib12020
SLCPDSD R"iud 04/11/2011