HomeMy WebLinkAboutFILLED LAND AFFIDAVITl6 0'3, oo\�V
PLANNING & DEVELOPMENT SERVICES DEPARTMENT-
Building & Code Regulations Division
2300 VIRGH41AAVENM
FORT PIERCE, Fl, 34982-5652
(772) 462-1553 SCANNED
FILLED LAND AFFIDAVIT St. BY
Lucie County
I, the undersigned, am the owner ofthe following described property,
(Parcel ld#/Lel
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number It - 33 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.
Tfoae Ql�cl\R
Propft Owner ne (PI Print)
Prop mer Si azure Dhte /
STATE OF FLORIDA, COUNTYOF Bda
ACKNOWLEDGED BEFORE METHIS ()Y.--DAYOF f &4,-4 201 6
BY Jv lLDI/ E c✓RnrJ f \/ WHO IS PERSONALLY KNOWN TO ME (_-j OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
A-1610Mbar 6 COMMISSION NUMBER
RossderEdcfeM(SFAe )
NM Public
Stale
SLCPDSD Reviced 0411 I2011 vor
My Commissi Florida
on # EE 550368
Evpiles: "abel s,2015