HomeMy WebLinkAboutDeloris Richardson - Filled Land Affidavit - CompletePLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGNNIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIIDAVIT
I, the undersigned, am the owner of the following described property,
2109 44th Street N Ft. Pierce, FL 34946
(farce) IdWLgA descriptioulAddrew)
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 M2L�,L 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.
Deloris Richardson
Property Owner Name (Please Print)
Property Owner Signature Date
STATEOFFLORMA, COUNTY OF 5t
ACKNOWLEDGE[) BEFORE BEFORE ME THISi�DAY of � e x 24
By ." {a fi 'e'll r lZk��';fGr1 WHO 1S PERSONALLY KNOWN TOME (E500R WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR FRHqT NOTARY'
-f Y CO MISSION NUMBER
(SEAL)
DAISY VELAZOOEZ
SLCPDSD Revised 04111/2011 =! '.,NOtery Public -State of Florida'
Commission a GG M385
s, My Commission Expires
''0�,°n�•'` June 01. 2024