HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division2300 FORT PIERCE, F 349V 82 5652 RECEIVED
(772)462-1553
SCANNED DEC 3 0 2016
BY FILLED LAND AFFIDAVIT
St. Lucie County PERMITTING +
St. Lucie County, FL
I, the undersigned, am the owner of the following described property,
(Parcel
a 11 36 - 39,4-0006-o0'C>-
description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number t L o I -O _ j�j, 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.
'moo 6Z4_+ 'Q0.1.) A-y` .V \ O
PropW
Nam (PI se Print)
ProKerty,Ovlger Signature Date
STATE OF FLORIDA, COUNTY OF J, )'j0'wt.
BEFORE ME THIS _y .� DAY OF �1 R•'C ', , 20 l _ p
BY
PRODUCED
COMMISSION NUMBER
SLCPDSD Revised 04/112011
IS PERSONALLY KNOWN TO ME L ) OR WHO HAS
IDENTIFICATION.
TYPE ORPRINT NOTARY
�11P/I�
KAREN S. NIELSEN
Com(rbFddiDn A FF 115637
�. My Commission Expires
June 12, 2018