HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED FILLED LAND AFFIDAVIT
�C�IED
BY
St. Lucie County FEB p 6 W%
I, the undersigned, am the owner of the following described roe ""moo cieeCo� County
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g � g P P� st• w
3415-707-0001-000-0 / 605 Kitterman Road; Port St. Lucie, FL 34952
(Parcel Id#/Legal description/Address)
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 =e Print)
Property Owner Signature ,/ Date
STATE OF� COUNTY OF ") J FPA K-
ACKNO EDGED BEFORE ME THIS a-- DAY OF 20 t O
BY CLk, WHO IS PERSONALLY KNOWN T ME ErOR WHO HAS
PRODUCED
COMMISSION NUMBER
SLCPDSD Revised 04/11/201I
IDENTIFICATION.
Darlene 0_e(SEAU: c
Notary Public
State Of New York ,
County Of Greene
Commission Expires: 04/201 1
No. 0IE6204353