HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division SCANNED
2300 VERGINIA AVENUE BY
FORT PIERCE, FL 34982-5652
(772)462-1553 St. Lucie County
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
131a-503-oIG9-oa5-7 P a-Fo��ulc, 5l,oaes-Pl,�se'7'a`Qee CP643-yv�/.of,39G
(Parcel Id#/Legal description/Address) 5gao 5pe%h5Lam.Aa 7 aev. .
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.
iU 1
Date
STATE OF FLORIDA, COUNTY OFT
ACKNOWLEDGED BEFORE ME THIS I DAY OF OC—�- 20 1 ,
BY&CeMa Ey S'Fle0^Lt-C1LL WHO IS PERSONALLY KNOWN TOME OR WHO HAS
PRODUCED
VSIG P ARY PUBLIC TYPE OR PRINT NOTARY
COMMISSIONNUMBER
AS IDENTIFICATION.
(SEAL
KYLE ANDREW DUNN
L. ;z° • , Notary Public - State of Florida
y or Commission # GG 257549
SLCPDSD Revised 04/112011'"�a M' My Comm. Expires Sep 11, 2022
Bonded through National Notary Assn.