HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGrNIAAVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANNED
BY
St. Lucie County
I, the undersigned, am the owner ofthe following described property,
1431-120-0000-000/6 4551 St. Lucie Blvd., Ft. Pierce, FL 34946
(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. /
W%1/&IQIe lG t,
Property Owner Name (Please Print)
I l,J
Property Owner Signature Data
STATE OF FLORIDA, COUNTY OF ' 4 •Lump_.
VMO HAS
IDENTIFICATION.
SfQNATURE OF NOTARY PUBLICTYPE OR PRINT NDYAHX-
COMMISSION NUMBE ;a+:Pig•., TAMMIE BEA$LEY
:x? 4
MY COMMISSION # GG071444
EXPIRES March lawLj
SLCPDSD Revised 0411 U2011