HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTME�T�ANNED
Building & Code Regulations Division BY
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 St. Lucie County
(772) 462-1553
FILLED LAND AFFIDAVIT
MAR 2 1 2018
ST Lucle County, permitting
I, the undersigned, am the owner of the follovyipg described properr ,
(Parcel Id#/Legal descrppjion/ dress); ` r r ,
3 l8 EHsT /Y!i w �Zps,� / /. P/tee G� g�-
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 fonthe 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.
Prope rt Owner Nan a as `Print)
i 2Z2
roperty O ter Slgnature
STATE OF FLORIDA, COUNTY OF 511 ; y- c I C
ACKNOWLEDGED BEFORE ME THIS a DAY OFI�CV 120 a
BY
R STUT"
SLCPDSD Revised 04/11/2011
Y KNOWN TO ME (El OR WHO HAS
IDENTIFICATION.
SEAL�j- _
Vk A SANDRA LYNNE WEEKS
J6 '�' Notary Public, State of Florida
��
Commission# FF 137758
My comm. exp!res June 30, 2018