HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILI)ING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE,FL.34982-5652
ply "" 772-462-1553
FILLED LANDS .AFFIDAVIT
I, the undersigned, am the owner of the following
described property:
(Tax 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.
Property Owner Name P rty Owner Signature Date
STATE OF FLORIDA,COUNTY OF �O'04LC1+411
ACKNOWLEDGED BEFORE ME THIS 4& _DAY OF -ZI/al A4 —,20/-4
BY J�iMB S }�_ G't A m —co PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
/� AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTJY aa�•,pYPU�iEILEEN A.OECICCO
fir° `�•, Notary Public-gate-11s iorida
' tS mission a P 9..18-16
NOTARY PUBLIC TITLE �9�s ala COMMISSION NU +r ac My Comm.Expires jan 29 2020
80Kled through National Notary Asstt.