HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
' Building&Code Regulations Division
2300 VIRGINIAAVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
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(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.
qP Owner Name(Pl a e Print
ell
Property)9Mer Signature U Date
STATE OF FLORIDA,COUNTY OFA
ACKNOWLEDGED BEFORE ME THIS P7 DAY OF—
BY
IDBY WW4 ALLY TO MER WHO HAS
C AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLI TYPE OR PRINT NOTARY
COMMISSION NUMBER
•tPa�P'g, DAWN MILONE
;•_�, �`�s Notary Public-State of Florida
My Comm.Expires Mar 22,2017
"�° "o`•� Commission#EE 877571
SLCPDSD Revised 04/11/2011 %%°;,;°P•• Bonded Through National Notary Assn.