HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division r
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
U PR 1 3 2016 6� FILLED LAND AFFIDAVIT A- v PE13,1VI TING
St. Lucie County, FL
I,the undersigned, am the owner of the following described property,
rig,- 620 3- oDak'rl - fit?/6 tot-1� ,13LO(lt 5-3c)q &&rct- Aue
(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 bO 017 g , 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 ame(Please Print)
roperty Owner Signature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 1 DAY OF /fP�l l 120 t
BY f 9 Q+k t V WHO IS PERSONALLY KNOWN TO ME( X )OR WHO HAS
PRODUCED AS IDENTIFICATION.
EvC'—[1Aci Mares
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
gds Notery Public State of Florida
Evelinda Flores
�P` My Commission FF 089788
SLCPDSD Revised 04/11/2011 or 0: Expires 02104=18