HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34982-5652
(772)462-1553
SCANNED
BY
St. Lucie Count,
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FILLED LAND AFFIDAVIT 6Aaj�/D
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I, the undersigned, am the owner of the following described property,
856 NOA STREET FORT PIERCE, FL. 34982
(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 VCtto—n 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.
Property Owner 1,bme (Please Print)
��4�� 9/1-7119
Property Owner gnature I Date
STATE OF FLORIDA, COUNTY OF &. WON V ACKNOWLEDGED BEFORE ME THIS I-7 DAY OF 5tplernbQ14
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BY C.l I ' WHO IS PERSONALLY KNOWN TO ME (0) OR WHO HAS
PRODUCED YIVPK l i P-h J' AS IDENTIFICATION.
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S � 1% E O' NOTARY PUBLIC TYPE O T NOTARY
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ANGELA BO IRMINGNAM
Notary Public - State of �iorida
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Commission - GG 249625
My Comm. Expires Aug 16, 2022
SLCPDSD Revised 04/112011 Bonder through Natiocal Notary Assn.