HomeMy WebLinkAboutFILLED LANDS AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
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FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1 430- 311-060z -
(ParcelId#/Legaldescription/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.
�wner Name (Please ,�,e- � c�� ��
Property Owner Signature Date
STATE OF FLORIDA, COUNTY ONA--
ACKNOWLEDGED BEFORE ME THIS S-6) DAY OF ft 202
BY WHO IS PERSONALLY KNOWN TO MEOR WHO HAS
Q,n) SHERRI FEHLMAN
Commission # GG 187180
* Expires March 14, 2022
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SLCPDSD Revised 08/24/2010