HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652
772462-1553
SGANNEL,
BY
St. Lude rnnnt,
-TILLED-LANDS AFFIDAVIT- - --
I, the undersigned, am the owner of the following described property:
�306- 1t\-dool- C1d0-6
(Tax M/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 110S -OS03, 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 Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF S-t— Luc Le�
ACKNOWLEDGED BEFORE METHS_DAY OF '`-202
By MAVtw ULA rin e— WHO 1S PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY
NOTARY PUBLIC TIME
,0 NNotary Public State of Florida
Kemi Budka
FF 974v Mycommission020 6P Eaplres05/2512
k"PX rI 06I'd cl 1-1w
TYPE OR PRINT NAME OF NOTARY
(--"?TJA13 COMMSION NUMBER (SEAL)