HomeMy WebLinkAboutFILLED LAND AFFIDAVITX
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
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.
Aop Name (Please Print) tcl
0o CerSignature Date'
STATE OF FLORIDA, COUNTY OF4sv • LLz-•1 Q--
ACKNOWLEDGED BEFORE ME THIS lv DAYOF Oc'��r _I .201
BY �`�\ 05 ` oAe- WHO IS PERSONALLY KNOWN TO ME (51 OR WHO HAS
PRODUCED
01
d4i�U-REOF Q2 !rj OTARY P IC
PC
1 J � 16IOMMISSION NUMBER
SLCPDSD Revised 04/112011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
L@Ia1 S. Shepherd
NOTARY PUBLIC
STATE OF FLORIDA
Calms# FF931909
Expires 12J14I2019