HomeMy WebLinkAboutFilled land affidavit I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT i
Building &Code Regulations Division
2304 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
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FILLED LAND AFFIDAVIT
1
I, the undersigned, am the owner of the following described property,
011.101- ooau- 000A 531 5 San KEW fity PL
(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 2-0 04-0034; I acicnowledge
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, I
adequate drainage off my property which will not adversely affect the immediate
community.
[-�N CA in I-A]0 CA vyt S-
Property Owner Name(Please Print)
41111 lb
Property ignatwe Date
STATE OF FLORIDA,COUNTY OF Sst 1 Vl ^
ACKNOWLEDGED
,BE`FOR{.E�MEEjTHIS DAY OF R 0 Y I ,20 OD
BY Y Q`�► It �u41 1 yy t WHO IS PERSONALLY KNOWN TOME LX,)OR WHO HAS
PRODUCED 1 AS IDENTIFICATION.
1— rL�A@C 3�u,d�h3 .�. l^NSQH
S NATURE OF NUfARCUBLIC TYPE OR PRINT NOTARY
1
(r{,•08%&{ COMMISSION NUMBER
(SEAL)
RICHARD DOUGLAS JOHNSON
.`c, NotaryP&ic-State of Florida
.; \ Comm ssion @ GG 084821
ov My Comm.Expires Mar 20,2021
SLCPDSD Revised 04/11/2011
.,°F,;;4,. Bor�edtnrouyhNaUonalCJ�taryAssn.
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