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,
a u v uuI aLi_ ono --i RaOo i4m
Id#/Legal destr4ptlon/Address) —
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
acknowl
that as owner of the above described property, and in accordancelwith Sectdion
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.
Props\ Owner Name ((least Pnnt)
Prop t--ty
Date
STATE OF FLORIDA. COUNTY OFy J 1 1/
ACKNOWLEDGED EIEFORE ME THIS ) 2m�
DAY OF 20_�D
BYWH015 PERSONALLY KNOWN TOME A—) OR WHO 14AS
PRODUCED
1 AS ,IDENTIFICATION
S NATUREOFN t UBLIC •`R-i JUhE+J�
TYPE OR PRINT NOTARYU
GG0846111 COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
;•"�w. o;; •• RICHARD DOUGLAS JOHNSON
' ' rye•. Mlary Public - sole of FlwiCa
�• Camnsswe A GG004821
i€ V. My Comm. EMUS Mar 20, 2021
BWCe4INpiyA NAb0.vaRlobryq>I0.