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 yt SCay D
B
"Cie County
I, the undersigned, am the owner of the following described property,
1335802004800012 & 13358020049000/9, 7361 Commercial Circle, Ft Pierce 34CI571
(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.
Prop rty Owner Name (PI int)
Proper Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 3 DAY OF ��iI 120 t 9 ,
BY `"�^+Sipn _V:r tyiceSch. WHO IS PERSONA YKNOWN TO ME(0) OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
�er� � tlo^ti
TYPE OR PRINT NOTARY
(SEAL)
"'I" "', DEBRA K EBNER
.`tS Notary Public - State of Florida
Commission # GG 047893
My Comm. Expires Noy 15, 2020
'�O�„`,t°p Bonded through National Notary Assn.