HomeMy WebLinkAboutFilled Land Affidavit I
I
r9 t A PLANNING &DEVELOPMENT SERVICES DEPARTMENT
IL` - Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
I
j FILLED LAND AFFIDAVIT
i
I
I,the undersigned, am the owner of the following described property,
L� j 07 &193 rlez ctie tort Ntrce N- 34999-
(Parcel Id#/Legal descriptio /Adq�dress),
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.
Andre w Oon�efly
Property Owner Name(Please Print)
Iu f�z &r�? V
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF J
ACKNOWLEDGED BEFORE ME THIStAY
OF 20 /BY ! ��FII PERSONALLY KNOWN TO ME(_)OR WHO HAS
PRODUCED AS IDENTIFICATION.
S UTOF V
ARY PUBL TY OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
"'`�''• AUDREYB.HUMPHREY
MY COMMISSION#FF 174772
os EXPIRES:March 6,2019
od F' Bonded Thru Notary Public Underwriters