HomeMy WebLinkAboutFilled Land Affidavit� S +
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,
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(Parcel ldt#/Legal description/Address)
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
ge
that as owner of the above described property, and in accordance I. with Sectacknowleion
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.
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Property Owner Name (Please Print)
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Property ure
10121Z6
Date
STATE OF FLORIDA, COUNTY OF St ILA C ( -f
ACKNOWLEDGED EJEFORE ME THIS a DAY OF
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PR , WHO IS PERSONALLY KNOWN TO ME , OR WHO HAS
PRODUCED
5 NATURE OF N FAR UBLIC
G�o8y��t COMMISSION NUMBER
SLCPDSD Revised 04/11/201 I
AS IDENTIFICATION
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TYPE OR PRINT NOTARY
(SEAL)
RICHARO DOUGLAS JOHNSON
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Nolary Public - Slale of FloridaComm;sslor, p GG 084821
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M Comm. Expires Mar 20.2021
Bonded lhrouyh Nalional Nolary Am.