HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VI RGRg1AAVENUE
FORT PIERCE, FL34982-5652 6urg!WJad'/qunojaon-i•yg
(772) 462-1553
810Z L 0 330
SCANNED FILLED LAND AFFIDAVIT
BY 43AI3D3b
St. Lucie County
I, the undersigned, am the owner of the following described property,
5-Col F�iaDVL PA Iao t • 15, oa I d . vaO, K LA_Irx u.1000 i7A.?,1L,
(Parcel Id#/Legal description/Address) t, a, --3, K f S
for which I have applied to St. Lucie County for a Final Development Permit. .In
accepting this Final Development Permit, BP Number tcc lD - O 11 q , 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.
-DA J x.O t32t 6 N 5'
Property Name (Please Print)
J`Ivv 1, Ldlg
Property er Signature Date
STATE OF FLORIDA, COUNTY OF 'CWh7I f7/
ACKNOWLEDGED BEFORE ME THIS DAY OF / U ✓L' /'t �� k4. 20 I i
BY `%4-'I'O I,/ 2/GhT WHO IS PERSONALLY KNOWN TOME rt— it ORWHO HAS
PRODUCED
L«C.
SIGNATURE OF NOTARY PUBLIC
R- 0 2 Z i Z6 COMMISSION NUMBER
SLCPDSD Revised 04/112011
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TYPE ORPRINT NOTARY
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LRbli Tier U RiceMy CommissiGG 072776� Expires 04/03/2021