HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
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 pr erty,
(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.
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Property er Na Please Print)
roperty Owner Signature ate
4
STATE OF FLORIDA,COUNTY OF
S
AC . WL�CDGED BEFORE ME THIS ` DAY OF 20_)(S1 �' `JC�V ) Iy� WHO IS PERSONALLY KNOWN TO ME U OR WHO HAS
P ODUCED AS IDENTIFICATION.
SIGNATURE OF NURY PUBLIC TYP R RINT OT Y
COMMISSION NUMBER
•*�PRyPVep ANGELA M HUFF
,•`r°. .`�=_ Notary Public-State of Florida -
Commission#FF 234730
SLCPDSD Revised 04/11/2011 ' MY Comm.Expires May 27,2019
ll Bonded through National Notary Assn.