HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANNED
BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
F
(Parcel Id/f/Legal
- noaa-
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 17 0 8 — 0 4, 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 O any se riot)
� a�2a poi
Property Owner Signarure Date
STATE OF FLORIDA, COUNTY OF eno all P(it
ACKNOWLEDGED BEFORE ME THIS ci v2 DAY OF to` 20-Z?,
BY Do, n-ad L �G yI rt� WHO IS PERSONALLY KNOWN TO yY1E(_)OR WHO HAS
PRODUCED
r--F0- �'ICOMMISS10N NUMBER
SLCPDSD Revised 04/112011
AS IDENTIFICATION.
t9 of i Lox lrlO Pi x
TYPE OR PRINT NOT Y
(SEAL)
• � SON1A LOUISE P D i
Commission oFF045059 ,
AO{ Commission Uppues
August
21, 201i