HomeMy WebLinkAboutFILLED LAND AFFIDAVIT1?0z-WVo
ST. LUCIE COUNTY
BU"ING & ZONING
2306 VIRGINIA AVENUE
FORT PIERCE, FL.34982-5652
772-462-1553
RECEIVED
AUG 3 12017
PERMITTING
J
l . Lucie County, FL
scArvNEo FI[M-ED-LANDS AFFIDAVIT--- -
BY
St. Lticie county
I, the undersigned, am the owner of the following described property:
(Tax ID/Legal description/AddMS)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Pemut, 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.
Property Owner Name Property Owner Signature Date
STATE OF FLORMA, COUNTY OF Skl Lj- LCA"e-
ACKNOII WLEDGED BEFORE
MB TEIS � DAY OF 20 ✓ , I
By l�(� ��J..JS \QS,IirS WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
U AS IDENTIFICATION.
SIGNATURE OFNOTARY
NOTARY PUBLIC TITLE
CARLA.NELSON
c Nola
ry Public • State 61 Fldrldr
'sW'Cblem1;iioe 0 FF 665535
��,a My3GdMM Etplra'feb 25, 202R
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
(SEAL)