HomeMy WebLinkAboutFilled Land Affidavit Py PLANNING &DEVELOPMENT SERVICES DEPARTMENT
I Building&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,
6001 (/?1 ',/—),--v e:—� -7
(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.
�./ , l� _
Property Owner Name( a e Prin
operty Owner Signature Date
J
STATE OF FLORIDA COUNTY OF
AC WLEDGED BEFORE ME IS ��( DAY OF 20�
WHO IS PERSONALLY KNOWN TO ME(_)OR WHO HAS
PRUCED fes. AS IDENTIFICATI
ci-
C
SIGNATUjo
NY F
PUBLIC YPE OR P T NO ARY
COMMISSION NUMBER
(SEAL)
,a y
tpRPGe� ANGELA M '
" Notar HUFF
SLCPDSD Revised 04/11/2011 ; ! Commissio State of Florida
aa; n#FF 234730
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1%OF MY Comm.Expires MaY27.2019
r,_•. Bonded through National Notary Assn.