HomeMy WebLinkAboutBill Richmond Filled Land AffdavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, PL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property.
(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 WELL 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
communit
ProuSertv Owner Nam
Property Owner^ignature Date
STATE OF FLORIDA. COUNTY OF." r £_
DAY OFACKNOWLEDGED BEFORE ME TfflS
-u. PC-PRODUCED
WHO IS PERSO
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NALLY KNOWN TO ME fl It OR WHO HAS
AS IDENTIFICATION.
4ATURE OF NdTARY PUBLIC
COMMISSION NUMBER
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TYPE OR PRINT NOTARY
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Joseph Gomez
SLCPDSD Revised 04/11/2011
=< ffl Commission #GG161404Expires: Movember 16,2021
Bonded thru Aaron Notary