HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 gp R
(772)462-1553 N L.
SCANNED FILLED LAND AFFIDAVIT APR 2 8 2017
BY_ PERMITfiYG
St. Lucie County, FL
St. Lucie Count"I
I, the undersigned, am the owner of the following described property,
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(Parcel IM Legal description/Address)
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number IW-C23�r, , 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 WELL 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.
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Property Owner Name (P ea a Pr' t)
doper Own gna a Date
STATE OF FLORIDA, COUNTY OF rJ ovida_
ACKNOkVLEDGED BEFORE
,, ME TiRS �94—� DAY OF I 20�
BY ohs Jot oby VMOIS PERSONALLY KNOWNTOME ORWHOHAS
PlIGnUCRD _ AS IDENTIFICATION.
Yy IA' & 3 • Sh4lA
TYPE OR PRINT NOTARY
:'1!^"MMlBfSE®RIP]p�Ap@IggSE SMITH
_ J " MY COMMISSION # FF909628 (SEAL)
I • ;; �_ _ d IZ EXPIRES August Ia. 2019
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