HomeMy WebLinkAboutFilled Land Affidavit\ r
- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
'_. 2300 VIRGIMAAVENtJE
FORT PIERCE, FL 34982-5652
(772) 462-1553
RECEIVED
FILLED LAND AFFIDAVIT
MAY ® i 2020
Permitting Departmen•
St. Lucie Count -
I, the undersigned, am the owner of the following described property,
1311-101- b03a -000-3
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I aclnowledge
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.
bt� a n If
Prope ty Owner Name (Please Print)
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Property ignature
Date
STATE OF FLORIDA, COUNTY OF� 1 1 X
ACKNOWLEDGED BBE�FOR��EE ME THIS �� DAY OF �� Y ( � 20_D
BY—'OW_�_� S WHO IS PERSONALLY KNOWN TO ME J�j OR WHO FIAS
PRODUCED
AS IDENTIFICATION.
tNATUREOFN JiN jOH f UDL[C TYPE OR PRINT NOTARY
&&!0846al COMMISSION NUMBER
(SEAL)
;.•4�µv'n��.,
RICHARDDOUGLASJOHNSON
M �c ;
SLCPDSD Revised 04/11/2011 iIDlt\)
Nola Public - Siale of Florida
Commission9GG084821
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My Comm. Expires Mar 20, 2021
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Bonded through National Nolary Assn.