HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulation's Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANNED
BY
St. Luce Counts
I, the undersigned, am the owner of the following described property,
(Parcelld#/Legal
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. ,
P4 ty �a�
,i�darnS
Property Owner Name (Ple se Print)
OI P
Property ignature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME
f . _.r rl
60IGNATUREOF NOTARY PUBLIC
6-- COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
IS PERSONALLY
OR PRINT NOTARY
OR WHO HAS
IDENTIFICATION.
,y;„::;; •.; pp IA ANN GfaIFFIN
'F � MY COMMISSION # GG137624
'?,%e,d� EXPIRES September 26, 2021