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,
131I•-100- Din- Doo-s
(Parcel td#/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.
I l vil _ b r N a n i� Gl G YYl S
Property Owner Name (Please Print)
\ 22.IID
Property ignature
Date
STATE OF FLORIDA, COUNTY OFy 1 L O C I I
ACKNOWLEDGED BEFORE ME THIS aol DAY OF s'e,pt'Zr" 10_Z r
y�20 �� J
BY K • �r`u4,�0.• •S WHO IS PERSONALLY KNOWN TO ME QC j OR WHO HAS
PRODUCED
AS IDENTIFICATION
S NATURE OF N rAR UBLICtG.�AP� QJu�N�OH
TYPE OR PRINT'NOTARY
GG-o848�� COMMISSION NUMBER
(S EAL)
•1� �'o ;A .,
RICHAPO DOUGLAS JOHNSON
;,
D;iA
NotaryPublic - Slale o1 FlnriCaSLCPDSDRevised04/11/2011 Comm;ssior.#GG084821Y:'
My Comm. Expires Mar 20.2021
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