HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division.
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34982-5652
(772) 462-I553 '
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
o0-DI3.3-000-g
(Parcel
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.
Byan Quo mS
Property Owner Name (Please Print)
allalao
Property ignature Date
STATE OF FLORIDA, COUNTY OF --at t I VI ( I
ACKNOWLEDGED BEFORE ME THIS 101 _ DAY OF F e b 20 a.0
BY pTU CL rn i5 CT C&nn S WHO IS PERSONALLY KNOWN TO ME ()k l OR WHO HAS
-----'—
AS IDENTIFICATION.
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TYPE OR PRINT NO Y
SIGNATURE OF NO 'ARY
UBLIC
r7'(70 gBiL% COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
�' :Ti y•..• RICHARD DOUGLAS JOHNSON
\Ne;" Notary Pudic -State of Florida
•1••'_ Commission p GO 004021
Ail My Comm. Expires Mar 20. 2021
eonded Wwyvi;aaNxW NolaryAssn.