HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34952-5652
(772) 462-1553
SCANNtu
FILLED LAND AFFIDAVIT BY
St. Lucie Count,.
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.
Property Owner Name (PI ase Print)
�erty Owner-SignatureDatte
STATE OF FLORIDA, COUNTY OF&'I) t ILCI ,-
ACKNOWLEDGED BEFORE ME THIS I?
BY GlAi ruA ?wn Addmr (
PRODUCED
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SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 0411112011
PERSONALLY KNOWN TOME U � 1 OR WHO HAS
AS IDENTIFICATION.
;:«ioY�: PATR CIA ANN GRIFFIN
°�'� " MY COMMISSION N GGt37624
°i?e;°�� EXPIRES September 26, 2021