HomeMy WebLinkAbout2013-09-18 (P) Form 11-18 Sign AffidavitRevised 3/16/2011
AFFIDAVIT
COMPLIANCE WITH POSTING OF NOTICE REQUIREMENTS
STATE OF FLORIDA
COUNTY OF __________
________________________________________, being first duly sworn deposes and states:
1. I am the owner or the agent for the project known as ______________________
for the following petition: File No. __________________.
2. I hereby certify that I have complied with the notice requirements set forth in
Section 11.00.03.E of the St. Lucie County Land Development Code for the
___________________ public hearing to be conducted by the
_____________________________________ on the above-referenced petition. The
required sign was printed and posted to the specifications listed on the Sign Content
and Sign Requirements forms provided by the St Lucie County Planning and
Development Services - Planning Division on ______________________. The
following required documentation is attached:
A. Dated Photo submitted electronically (Close up) __
B. Dated Photo submitted electronically (Distant) __
Further affiant sayeth not.
_________________________
Signature of Affiant
STATE OF FLORIDA
COUNTY OF ________________
The foregoing instrument was acknowledged before me this ___ day of _____________, 20___,
by ___________________________________. Said person __ is personally known to me, __
produced a driver's license issued by a state of the United States within the last five (5) years as
identification, or __ produced other identification, to wit _______________________________.
_
______________________________
Notary Public, State of
______________________________
Typed or Printed Name of Notary
Commission No.:
My Commission expires: