HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-I553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Address) '(_ 1 1 �M;�U I 41 ll `I1, (, n u
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.
rl 1 ) •
• • .,a . me (Please Print
Date
STATE OF FLORIDA, COUNTY OF�Vnln',
ACKNOWLEDGED
,m,,B11EFORE ME THIS � DAY OF de20
BY XR L � 4 Y� �/ WHO IS PERSONALLY KNOWN TOME - OR WHO HAS
COMMISSION NUMBER
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
SLCPDSD Revised 04/112011�"µri?! AUDREY B.HUMPHREY
MY COMMISSION # GG 300817
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EXPIRES: March 6, 2023
-•'•'.?ordiq>r Bonded Thru Notary Public UnderWrircm