HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652`�
(772) 462-1553 U %(``n" �'4 W—, A �aa
SCANNED
BY
St. Lucie County
FILLED LAND AFFIDAVIT
JAN 6 2020
Permitting be-partment
St. Lucie Clounty, FL
I, the undersigned, am the owner of the following described property,
(Parceldd#/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 1 4 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 finther 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.
STATE OF FLORIDA, COUNTY OF C-'L-C' `-�
ACKNOWLEDGED BEFORE ME THIS
BY
OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 0411 I2011
1102 a
Dafe
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WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
--_� AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
Daneld Lewis BRMVro t
NOTARY PUBLIC
STATE OF FLORIDA
ComnW PF981837
Expires 4/1312020
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