HomeMy WebLinkAboutFILLED LAND AFFIDAVITI
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT
JUL 0 5
BY
PERPAjj-rj,",;G
St.
Lucie County
St. Lucie COUntI., FL
1, the undersigned, am the owner of the following described property,
3429-134-0001-000-5; Section 29 Township 36 South Range 40 EaRt; 290 SW Prima Vista Blvd
(Parcel IdINLegaldescription/Address) Port St. Lucie, Florida 34983
for which I have applied to St. Lucie County for a Final Development Permit. , In
accepting this Final Development Permit, 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.
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Property Owner Name (Please Print)
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Property Owner Signature Dale
STATE OF FLORIDA, COUNTY OF
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ACKNOWLEDGED BEFORE ME THIS t 6L f,- DAY OF 51) ir—C .. 201D�
BY -9 kt&�--t ULACUCM 4 WHO<��WNTOME( OR WHO HAS
PRODUCED
SIGMATURE OF NOTARY PUBLIC
Ws��COMMISSION NUMBER
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AS IDENTIFICATION.
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TYPE OR PRINT NOTARY-
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Expires March 31.2021
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