HomeMy WebLinkAboutFilled Land Affidavit,PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division.
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462.1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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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.
S IN G VU Bd a hA C
Property Owner Name (Please Print)
` 411 -0
r r�Pcrry ll ature Date
STATE OF FLORIDA. COUNTY OF_ \ 1 U C k J
ACKNOWLEDGED BEFORE ME THISP DAYOF_ n T>Y % .,o3.0
BY _ WHO IS PERSONALLY KNOWN TOME
OR WHO HAS
PRODUCED
SS NAN f UBLIC
GlTD$4Rat COMMISSION NUMBER
SLCPDSD Revised 04111/2011
IDENTIFICATION.
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TYPE OR PRINT NOTARY
(SEAL)
`i,;:'e„•.,• RICHAR0000GIAS JOHNSON
[•. Nall Public - Stale of Fltvda
Canm;sswe 9 GG084821
rl, • • My Comm. Expires Mar 20, 2021
••••"�`.u;r4' BonCedeaouyh Nabnsalflolary Assn.