HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772)462-1553
SCANNED MAR 0 8 2018
BY FILLED LAND AFFIDAVIT
ST LUCIE COUNTY ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
1430-311-0002-000-3 / 3163 Hammond Road
(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 Owner Name (Please Print)
4z V• R 9 .QQ • I"A
Pr erty Owner Signah Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS, aa_DAY OF �Pl l>_ ,20-,
BY 1 �� P.(`Ce.P OCh`ilG L\ WH0 IS PERSONALLY KNOWN TOME (5Q) OR WHO HAS
PBQDUCED
GNATURE OF NOTARY PUBLIC
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I I .
I >1r( `I CLon
TYPE OR PRINT NOTARY
AS IDENTIFICATION.
_COMMISSION:NUMBER- --_ —_ _
•�N;: a�• LORIWILLIAMS (SE )
Notary Public - State of Florida
• Commission xGG099784
..va My Comm. Expires May 1, 2021
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SLCPDSD Revised 04/112011