HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building &Code Regulations Division
4momm`r 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I,, the Iundderrsiignepd, am the owner of
the following described property,
(Parcel Id#/Lega. dessc ption/ADdddreess)J 5 3 V e
n—) w qy--I t ,
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting1his Final Development Permit, BP Number
ge
that as owner of the above described property, and in accordancelwith 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.
byNan mu and
Proper
�ae (Please Print)
\ I051 ao Property �il�attue ��r
Date
STATE OF FLORIDA, COUNTY OF_&1_LL_A_C I mot)
ACKNOWLEDGED BEFORE ME THIS j5__
DAY OF , ju 1w 20_ ^^l
BY l T— roll —WHO IS PERSONALLY KNOWN TO ME -VS1
PRODUCED C_� OR WHO HAS
AS IDENTIFICATION
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40M
TYPE OR PRINT NOTARYV
GGosi COMMISSION NUMBER
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RICHARD DOUGLAS JOHNSON
SLCPDS0 Revised 04/11/2011
Relay Public - Stale of Fin, do
CammhsongGG084B21
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My Comm. Expires Mai 20.2021
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