HomeMy WebLinkAboutSUBMITTED PAPERSFILLED LANDS AFFIDAVIT
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
2300 VIRGINIA AVENUE, ROOM 201
PORT PIERCE, FL 34982-5652
407-462-1553 ZiLANNED
BY
3t. Luce County
I, the undersigned, am the owner of the following described property, llol
L P.tlL 't%t Stz 1..3tn/4='L5 C"f A- VIP .
(tax ID/legal descdptioNaddreas)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP NumberLib , 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.
Property Owner Property Own Date
(Print) (Signature)
STATE OF FLORIDA, COUNTY OF `Si7
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS 7-LF DAY OF JJ
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED IK I AS IDENTIFICATION.
TURF�OFTJ�TARY TYPE OR PRINT NAME OF NOTARY (seal)
NOTARY PUBLIC TITLE G of Notary Public rNUMBER
' My Comm. ixP. May 4,199Z
'Y carnal, No, 98 18887g
SLCCDV FORM NO.: 011-00