HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations. Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34992-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, .the undersigned, am the owner of the following described property,
GC sy9S/
Id#/Legal description/Address)
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.
G'�9'2G�,✓ � ,Q2rc0 rX
Pro rt Owner Nan ea 6 Print)
Property Owner Signa a Date
STATE OF FLORIDA, COUNTY 0F.6X, 1-olaQ-
ACKNOWLEDGED BEFORE ME THIS --V1\ DAY OF
BYCa \\CJ� &O.R tS WHO IS PERSONALLY KNOWN TO ME ae ) OR WHO HAS
\TION.
COMM
x4 REBECCA PERCY
i Notary Public - State of Florida (SEAL)
a.Me
Commluloe 1 FF 912567
my Comm. Eaplres Aug 24.0191 BdldadgaWpA Ni1wW "Assn
SLCPDSD Revised 0411 V2011