HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANNED
BY
St. Lucie County
I, the undersigned, am the owner of the. following described property,
'225— 21 1 — C) 0 OI. — O(z)0 / -Z
(Parcel Id#/Legal descrlptlon/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.
SAv _T_�\"c M �S
Property Name ease )
o /7 Z07Z
Prop er Signature Date
STATE OF FLORIDA, COUNTY OF 4.' \
ACKNOWLEDGED BEFORE THIS, DAYOF 2j .
BY mti��®il WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
COMMISSION NUMBER
SLCPDSD Revised 04/11201I
TYPE OR PRINT NOTARY
KAREN S. NIEI(
_=o Y04gk�'state of Florida -Notary Pu lic
�= Commission # GG 207484
qa�sF My Commission Expires
June 12, 2022
r°in`,pp
IDENTIFICATION.