HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652LF-JEB
CEIVED
(772) 462-1553
18 2020
FILLED LAND AFFIDAVIT
County, Permitting
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal
Permit. In
accepting this Final Development Permit, BP Number 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.
Property Owner Name (Please Print)
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Pro Owner Signature We
STATE OF FLORIDA, COUNTY OF e)Q.Al1T Ugjl—p+
ACKN/OWLEDG_E-D1 BEFORE
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RE ME THIS DAY OF T4J)U10-r .20 J
BY (� 11 bU T V Q41�a WHO IS PERSONALLY KNOWN TOME (0) OR WHO HAS
PRODUCED
SIGNAIT R/E� F NOTARY PUBLI
d YJ o-1- COMMISSION NUMBER
SLCPDSD Revised 04/112011
IDENTIFICATION.
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TYPE OR PRINT NOTARY
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(SEMAJO E. CRAWFORD
Notary Public - State of Florida
Commission # GG 224321
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My Comm. Expires Sep 26, 2022
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