HomeMy WebLinkAboutFILLED LANDS AFFIDAVITJ �fi COG ST. LUCIE COUNTY
.•, � � BUILDING &ZONING
r 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34962-5652
F�OR10P 462-1553
SCANNED
BY
FILLED LANDS AFFIDAVIT St. Lucie county
I, the undersigned, am the owner of the following described property:
/S
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.
Property Owner Name roperty Owner Signature Date
STATE OF FLORIDA. COUNTY OF L� 1
BE%F�O/Rj�E �M,E/THIS
/" I DAY OF 1) L�%"� .20 L
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
SIGNATURE CIF NOTARY
NOTARY PUBLIC TITLE
IDENTIFICATION.
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMBER
NOTARY PUBLIC -STATE OF FLORIDA
Beatriz Goycochea
Commission # DD589694
.,o• ExpiEes; DULY 01, 2007
BONDED,,,THRu ATU,NnC BONDING CO., INC.