HomeMy WebLinkAboutFILLED LAND AFFIDAVITL
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SC,aMNLo
SV
St. Lucie County
I, the undersigned, am the owner of the following described property,
_341�1-$I— 00o—G
(Parcel Id#/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 lglh- ()117—, 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.
OF
� �bLl"t— / ,
ACKNOWLEDGED BEFORE METHIS
DAY OF . 20
BY
Fraelk b, A GCS 14, t- '
WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED
p &__AS
IDENTIFICATION.
�UC�AA
SIGNATURE
II G/SIG AN�TARY PUB
TYPE OR PRBNT NOTARY
CC, 9 % AIJ 1COMIvIISSiONNU&IDER
(SEAL)
SLCPDSD Revised 04/112011
%iinY OiJ'`, MARIA D. GOMEZ
?° • �q`. Notary Public - State of Florida
ti C, F Commission # GG 297951
My Comm. Expires Feb 4, 2023
Bonded through National Notary Assn.