HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT SCANNED
BY
St. Lucie Countv
I, the underjignd,,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.
open O e 16 (Please ) '
` orierty er gnature Date
STATE OF FLORIDA, COUNTY OFJ
ACKNOWLEDGED BEFORE ME TIES� DAY OF 20 I..
BYCY, 11Ji�Jn &R_L WHO IS PERSONILLYJQTO NEC_) OR WHO HAS
ODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
DAWN MILONE
97";
=Notary Public -Stale of FloridaMy comm. Expires Mar 22. 2017r op;Commission#EE877571 1511• Bonded TDrouglrNatlOnal Notaiy Assn.