HomeMy WebLinkAboutFilled Land Affidavit —� � PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
WMKWW FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property, f
s � Q� PGA r, Qyy 0 'D-rz-
(Parcel Id#/Legal description/Address) `i g
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.
"�-e.\j r G �-� •� k�s c r.
Property Owner Name(Please Print)
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF s CI
ACKNOWLE GED BEFORE ME THIS DAY OFi 20
BY����J I PERSONALLY OWN TO ME U OR WHO HAS
PRODUCED 4A AS IDENTIFICATION.
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SIGNATIM OF 1TARY PUBLIC PE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
,. ANGELA M HUFF
N01AfV hubUc-State of Flor ,
SLCPDSD Revised 04/11/2011 7 :
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:4y,Corlt�t.,ExPfreS Vay 27.2018
Innded!throuO NatlWd Notary Assn.