HomeMy WebLinkAboutFILLED LAND AFFIDAVITMA PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
21 2300 VIRGINIA AVENUE
E..n FORT PIERCE, FL 34982-5652
(772) 462-1553 NOV _ 7 2016
SCANNED FILLED LAND AFFIDAVIT Public \Vrar\=
St. Lucie cau:A,'. LL
BY
St. Lucie Col Intl
I, the undersigned, am the owner of the following described property,
(ParcelId#/Legal
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.
(a,4hory S oo5aki
Property Owner NaAle (Please Pint)
!oI q-1i
roperty Owner Si a Date
STATE OF FLORIDA, COUNTY OFL` Cc>
ACKNOWLEDGED BEFORE ME THIS A"DAYOF O '�20 kU
BY WHO WHO IS PERSONALLY KNOWN TO MEI'� FOR WHO HAS
PRODUCED
IDENTIFICATION.
N1 � ��rtl\Q, "C"r1Re
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SIGNATURE OF NOTARY PUBLIC TYPE OR PRAT NOTARY
TY A04'?U COMMISSIONNUMBER
SLCPDSD Revised 04/11/2011
" ' STEPNANIE PARE'
NotarY PuOtie - State of Florida
tY.001"M Expires Mar 23. 2011
commission • FF 104680
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