HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGI IA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 NOV 0 2 2016
PERIAITTING
FILLED LAND AFFIDAVIT SCANNED St. Lucie County, FL
BY
St. Lucie Countv
I, the undersigned, am the owner of the following described property,
FL 3t4 9 8 i
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.
I/IGI t� Sa hc)1� BU�vic�eS
Property Owner Name (P a Print)
M-iep 4q'0d" q //a/I.6
PropertyOwner Signature Date
STATE OF FLORIDA, COUNTY OF n'• I{-�
ACKNOWLEDGED BEFORE MEITIES .-ILJ� DAYOF GY�^�I'�20--L(C
BY M (S.l �-� `Ol C U V WHO IS PERSONALLY KNOWN TO ME �)`� OR WHO HAS
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/112011
CHERVL FREEMAN
=We
Public - State of Floridam.
Expires Jul 12. 2018mission
N FF 104567