HomeMy WebLinkAboutFilled Land Affidavit x PLANNING& DEVELOPMENT SERVICES DEPARTMENT
13dildino,&Code Regulations Division
2300 VIRGINIA AVENUE,
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
`iS11�810-oo9g-oc��t 1Q�� 1 s Ocean Oc' �9 �
(Parcel Id#/Legal description/Address). Senw 6eae h , FL 34 9SI
for which 1 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.
9024)01.k CeOOY-%
Z
Ow r Name(Please Print)
3-aa-ICD
Property Ovvmer Adiature Date
STATE OF FLORIDA,COUNTY OF 1 ■ Q� � (1
ACKNOWLEDGED BEFORE ME THIS 9 01 DAY OF nacCh 20�,
BYA(1n coo k` WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
/Aof/2-RICOMMISSION
UREOFNOTARY PUBLIC TYPE OR PRINTNO'T'ARY
NUMBER }o�`i'"'�• JOHN O DO®D
(SEAL) �•`• 'E MY COMMISSIbN 44091383
'•',?o;,~a"{ EXPIRES May 20, 2018
42-& 0153 FloridallotaryServlce,com
SLCPDSD Revised 04/11/2011