HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
(772)462-1553
NOV 01 liq
SCANNED FILLED LAND AFFIDAVIT
BY ST. Lucie County, Permitting
ct Lurie County
I, the undersigned, am the owner of the following described property,
4 -'3\3- eoo
(Parcel Id#/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.
Property Owner Name (P e
Prope e tgnatu`re Date
STATE OF FLORIDA, COUNTY OF S"' • t V � \ -k
ACKNOWLEDGED BEFORE ME THIS DAY OF tJ dJ
2D ti
BY try%�9%\ C aTo*Q� WHO IS PERSONALLY KNOWN TO ME ❑(b OR WHO HAS
PRODUCED L flL
SIGNATURE OF NOT YPUBLIC
GGOa� as j COMMISSION NUMBER
SLCPDSD Revised 04/1 12011
IDENTIFICATION.
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TYPE OR PRINT NOTARY
DFANNAMARIE GNENS B
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.+`jam' • NIY COMMISSION p GG 022023
r. .,.••-yg; Decemhert6, 2020
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