HomeMy WebLinkAboutFilled Land Affidavit y
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PLANNING&DEVELOPMENT SERVICES DEPARTMENT
BUILDING&CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I,the undersigned, am the owner of the following described property,
3•ya 5 - 1 � 3-- o � a,a-da� fa
(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 Sa 1-d 55 I , 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.
AAM'//
rop&ty Owner N e(Please Print)
ope
rty a ateze Date
STATE OF FLORIDA,COUNTY OF Sk'
ACKNOWLEDGED BEFORE METHIS �1 DAY OF �. 120
By �-a t IC T fy\G o 0-45�N� WHO IS PERSONALLY KNOWN TOME OR WHO HAS
PRODUCED �'1' L AS IDENTIFICATION.
SIGNATURE OF NOT PUBLIC TYPE OR PRINT NOTARY
COIVAIISSION NUMBER pE%pNNA GIVENS
J",YoPV"i t�C'.
State at'fiorids
Myr`MM Expires DeC tB7 X16
ion EE 83
G ommissotaty Ase^
Though Nalional N
SLCPDSD Revised 08/24/2010