HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCgN
FILLED LAND AFFIDAVIT St 4UC/8),
ty
I, the undersigned, am the owner of the following described property,
3422-600-0002-000-1
(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.
BRASILINO FILIPE
Proper Owner Name (Please Prj
C` RPRiG.
Prope#2wobr Signature Date
STATE OF FLORIDA, COUNTY OF ST LUCIE
ACKNOWLEDGED BEFORE ME 7HIS DAY OF _ /TD%/ .20 ` I
BY BRASILINO FILIPE WHO IS PERSONALLY KNOWN TO ME QOR WHO HAS
PRODUCED AS IDENTIFICATION.
%,,I I l 1. 0, 4 JADE LEE KREST
S DENATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
261884 COMMISSION NUMBER
(SEAL)
•��ry II,
JADE LEE NREST
SLCPDSD Revised 04/11/2011
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Notary public -State of Florida
Commission R GG 261884
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Banded through National Notary Assn.