HomeMy WebLinkAboutFilled Land Affidavit �— , w PLANNING & DEVELOPMENT SERVICES DEPARTMENT
L Will Building& Code Regulations Division—]g —N
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
RECEI V SD SEP 2 3 2015
I,the undersigned, am the owner of the following described property,
Xe so AIQ 1114S "A'amc Ir
(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.
Mc,-A -T 0,-,vty\v9
Property Owner Name(Please Print)
Property Signature Date
STATE OF FLORIDA,COUNTY OF_a- ! e—
ACKN��/OW��LEDGED BEFORE ME THIS_�DAY OF t-- 20
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BY AOL -ILS C nnD� WHO IS PERSONALLY KNOWN TO ME L )OR WHO HAS
PRODUCED SD D AS IDENTIFICATION.
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SIGNATURE OF NOTPUBLIC TYPE OR PRINT NOTARY
C ISSION NUMBER
�••��u��•�• EILEEN LANKFORIJ
'r = kwary Public-State of Florida
Commission N FF 227469
SLCPDSD Revised 04/11/2011 -'''•;;o��� ;A�, My Comm.Expires May 12,2019