HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 S CANN B-P'
(772)462-1553
By
Wit. � >>aS�1S Lf-u�Ulity
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the flowing described property,/�/07-,?//-DoaS-oDo• Z,
SSS/ Saas?sc✓%ua TZ-L17.64 VdA, F %vFNC--%VoFdw %y
(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 , 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 drainagO off my property which will not adversely affect the immediate
commu ity.
Property Owner Name (Please Print)
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Prope ytr owner Signature Date
STATE OF FLORIDA, COUNTY 0 f -1
BY
t
�,. COMMISSION NUMBER
SLCPDSD Revised 0824/?010
DAY OF^— ENT _
.20y +
) IS PERSONALLY KNOWN TO ME_
OR WHO HAS
NOTARY
(SEAL)
AS IDENTIFICATION.
1Pa+Peep SHERRI FEHLMAN
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" e ExplresMarch 14,2022
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