Loading...
HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES UPARTMENT SCANNED Building & Code Regulations Division �� Lucie •aDnty 2300 VIRGINIA AVI'.NUIS FORT PIERCE, PL 34982-5052 (772)462-1553 FILLED LAND AFFIDAVIT l'C"J-le, 4e, �(1lMes T-Vc-, 1, the undersigned, am the owner of lie following described properly, 2,7,25 yl( ©ao( CW7- / 1(v5R1 CAI.0140, 1�oart �Ar7t, P1.P'4"4r for which 1 have applied to St. Lucie County for a Final Development Permit. 11, 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 properly which will not adversely affect the immediate community. ProperlyOwner , NNaame (Please Print) / Property Owner Signature ��s{U�--/ .� Date STATE OF FLORIDA. COUNTY OF XACKNOWLEDDGED BEFORE METHIS 267% DAYOF � C9 /J e1L ZaL BY I?OVe�7 E WHO IS PERSONALLY KNOWN TO ME(.V)ORWIIO HAS PRODUCED AS IDENTIFICATION. �o�thCkriS}'eplt(� Srai� SIGNA FTTOTARY PUBLIC TYPB OR PRINT NOTARY If K1533 COMMISSION NUMBER (SEAL.) t7 yy . 4+•.i JOSSION# i SLCPDSD Revised 04/11/20II ?•; .'__ MY COMMISSION i1 FF 142033 +�a EXPIRES: July 15, 2o18 vF„pd�q� Banded TNaleotwPuNcandeftteeM