HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
. a Building&Code Regulations Division
2300 VIRGINIAAVENUE
FORT PIERCE,FL 34982-5652
(772)462-I553
FILLED LAND AFFIDAVIT
I,the undersigned, am owner of the following described property,
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(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.
Pr/op�erty Own r ame(Please Pr /
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Property 644 Signtune Da e
STATE OF FLORIDA,COUNTY OF 1 Uy
ACI N WLEDGED BEFORE ME THIS DAY OF 20
BY WN S IS PERSONALLY KNOWN TO ME(_)OR WHO HAS
-UZODUCED Z' AS IDENTIFICATION.
SIGNATURE OF OTARY PUBLIC ~
TYPE OR PRINT N TAR
COMMISSION NUMBER
(SEAL)
ANGELP,M HUFF
iA"v1oua%,. Notary Public state at Florida
SLCPDSD Revised 04/11/2011 =r°• 'cam' commission#fF 234730
• - ,2019
*'= ExPires May 27
oP? My comm. of Assn.
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