HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772)462-1553
0CT 0 9 "0',0
FILLED LAND AFFIDAVIT 15T. Lucie county, Permitting
SCANNED
I, the undersigned, am the owner of the following described property, BY
St. Lucie County
3229-211-0002-000-4 .
(Parcel IM/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.
Joshua and Madison revord
rty Own gn e Date
STATE OF .• .•
. COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME
PRODUCED IR) \--k L `^
SIGNATUREnOF NNhOTARY PUBLIC
g�[ )COMMISSIO' NUMBER
SLCPDSD Revised 0411 VL-011
DAY OF 61.-��W—t` .201CI .
) IS PERSONALLY KNOWN TOME (12 OR WHO HAS
IDENTIFICATION.
cSUS41hN_ QDoDe-h
TYPE OR PRINT NOTARY
(SEAL)
SAN A. ""'ublic
- State Ot Floridaission
# FF 231072.
=MYC
Expires Jul 28. 2019