HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 Sf-
ANNED
St. Lucie FILLED LAND AFFIDAVIT CGU►Ify
I, the undersigned, am the owner of the following described property,
6780 Dickinson TER Port St Lucie, FL 34952
(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.
Maria Santangelo
Property Owner Name (Please Print)
s q
Property Owner Signature Date*
STATE OF moiuDA, COUNTY OF ST LUCIE
ACKNOWLEDGED BEFORE ME 7HISJ'? DAY OF C�Q-1 YY)i iYf����U -Zpj
IL
BYMaria Santangelo WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
SLCPDSD Revised 041112011
AS IDENTIFICATION.
ANGELA BORSODI-BIRMINGHAM
TYPE OR PRINT NOTARY
(SEAL)
EM
ELA pORSODI-BIfUAINGHAMry public -State of.Floridaommission
p GG 24g625omm.
Expires Aug 76, 2022ough National
Notary gsin.