HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(M) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/ d s)
-"IDO- DD%D- DDd-1
for which I have applied to St. Lucie County for a Final Developmett Permit. In
accepting this Final Development Permit, BP Number
acicnowledge
that as owner of the above described property, and in accordance I. with Section
7.04.0.1(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.
y Uri ftdGms
Property caner Name (Please Print)
P Lnl7I1n Property ignature -
Date
STATE OF FLORIDA, COUNTY OF S't I u C 1 e
ACKNOWLEDGED EIEFORE ME THIS Z DAY OF ve- r
20 Z O
6Y i S1Ct Yl �cjick S WRO IS PERSONALLY KNOWN TO ME
(-X-j OR WHO HAS
PRODUCED
AS IDENTIFICATION
rA:T( MJ0NS ATURE OF N 1C
LETYPE OR PRINT NOTARY
Cr&0846(11 COMMISSION NUMBER
(SEAL)
RICHAPO DOUGLAS JOHNSON
SLCPDSD Revised 04/II/20II
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Nolary Public - Slate of Florida
CommissiorliGG084821
My Comm. Expires Mar 20.2021
Bonded lhrayhNalmnalNalaryAw.