HomeMy WebLinkAboutFILLED LAND AFFIDAVIT_,
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie. county
I, the undersigned, am the owner of the following described property,
2432-233-0001-000-6
(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.
Accurate Septic Services
Property Owner Name (Please Print)
t ti � ✓n 2�
STATE OF FLORIDA, COUNTY OF C,�jl L'u6 Qi
ACKNOWLEDGED BEFORE METTHIS I DAYOF ] \Xq(AS+ .2012
BY T)ut/1l,(%I lj'TT J1 ijf, WHO IS PERSONALLY KNOWN TO ME(❑
, )OR WHO HAS
PRODUCED I"^1.1 L DOWYrS LICLme- AS IDENTIFICATION.
GOO (,ei i l I iQ ms
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
RJ' !64COMMISSION NUMBER
(SEAL)
Bria Williams
SLCPDSD Revised 04/11/2011 oe" NOTARY PUBLIC
c c STATE OF FLORIDA
'+ = Comm# GG237641
cot, EExpires 7/11/2022