HomeMy WebLinkAboutFilled Land AffidavitPLANNING & 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,
1311.10.3 .000-Cl Z 104 -ftmQ I Fj^
(Parcel ldf#/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
acknowledge
that as owner of the above described property, and in accordance I 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.
W► I I �g Yin E r� a t' 1 i�cic� rh S
Property Owner Name (Ple se Print)
ty
Proper0
ignature
g1�21 2
Date
STATE OF FLORIDA. COUNTY OF_S 1 U C 1 p
ACKNOWLEDGED BEFORE ME THIS DAY OF $ o� a YY1 b
20 010
BY� ndQ`( WHO IS PERSONALLY KNOWN TO ME
PRODUCED `l (L� ) OR WHO HAS
11 1I AS 1DENTIFICATION
IG.KAPC QI� J(��N�pH S NATURE OF 4NrAR UBLIC
TYPE OR PRfNT NOTARY
GGoggBa1 COMMISSION NUMBER
(SEAL)
W"' .,,
RICHARD DOUGLAS JOHNSON
SLCPDSD Revised 04/11/2011 �1\l
Nofary Public - Slale of Florida
Comm;ssior. 9 GG 084821
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My Comm. Expires Mar 20.2021
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