HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
St. Lucie County
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division _
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, Fl, 34982-5652
(772) 462-1553 LSTLUct
FILLED LAND AFFIDAVIT ie County, Permitting
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accenting 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.
La red NncUmP
Property Owner Name (Please Print
qA119
PropWty Owner'Signature Date
STATE OF FLORIDA, COUNTY OF —:;T - ULCA.,f, .� ^
ACKNOWLEDGED BEFORE ME THIS 11�'' DAY OF J@PY t ��f
BY Y I-AW� 3e- WHO IS PERSONALLY KNOWN TO ME(Lj hOR WHO HAS
PRODUCED AS IDENTIFICATION.
Pc-Y�G1 \2 'PZYCiCSTY\O
SIGN _ � rfE�OF NOTARY PUBLIC TYPE OR PR NOTARY '
GCQ D7.kRLMCOMMISSION NUMBER
IS �.rx •� Notary Pu6110 State 1Pl16da
Angle Tatlana Pardomo
+� ` Mr CammisWon OG 024900
�fp, qo� Explrea 08/2512020
SLCPDSD Revises 04/11201 I