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
1
I,the undersigned, am the owner of the following described property,
11130 -lot.oozy-ow.3 ilv"re#n flaw vn, It j ki ! C'ci 2-017. 8'4"rzz- g
(Parcel Id#/Legaldescription/EleLN / �'� S >
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number � - 1, 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 lof 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.
erty Owner Na eas Print)
/A07
P—rot Owner Signa re D to
STATE OF FLORIDA,COUNTY OF >>t 1 L L1rt e
ACKNOWLEDGED BEFORE ME THIS L DAY OF 207
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BY�1� I►� �J �l/�Wri0 Is PERSONALLY KNO TO ME OR WHO HAS
PRODUCEDInOdd - - WA �. � AS IDENTIFICATION.
SIGH? CC OF 96TARY PUBLIC T E OR PRINT NOTARY
COMMISSION NUMBER
aSonded
GRISELDAARMAS
(SEAL) WcOMMISSION#00019565
EXPIRES:AUG 09,2020 through 1st state(Durance
SLCPDSD Revised 04/11/2011
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GRISELDA ARMAS
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•"••• --jvil 1i si state Insurance
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