HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
141_ t Y00 y l l i
I, the undersigned, am the owner of the
r76I ' prlrtc, UI0+-9 1,
(Parcel ld#/Legal description/OkAdress)uft
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.
I-1I.17
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME�T�H,IIS� ,,, ;(JDAY OF 20%�
BY RIQ*4g0J FW—gLW/�S-HVISPERS LY1 OWNTOME(�OR WHO HAS
PRODUCED
NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
21NT NOTARY
(SEAL)
rev AUDREYB.HUMPHREY
MY c0MMISSION # FF 174772
EXPIRES: March 6, 2019
BondedlhN Not"Puhlk Underwdws