HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
• rw FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LANDXAFFIDAVIT
I,the undersigned, am the owner of the following described property,
;�-5®J sof e4/o ec ��� ►��� "�r�
(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.
roperty Owner Name(Please P)'nt
h 10 ol (�D . I (I Q I/
rP
operty Owner Ignature Date
STATE OF FLORIDA,COUNTY OF ✓ - L U G 1y
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 I � .
BY M-k Y ►�S G(� �C - WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
aCED AS IDENTIFICATION.
ee ,
GNA REITM/I1COTARY PUBLIC T P R PRINT NOTAR
MMISSION NUMBER
A n (sA E PHILLIPPE
�"G Notary Public,State of Florida
" Commiss'son FF 98y05
My comm. expires Mar.4, 2012
SLCPDSD Revised 04/11/2011