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
OCT 27'�('J
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
I -1 o o.- b o-j) - o 0 0- 5 �� Y�1..Q Y'u to 0 A, _Q
(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: acknowledge
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.
W. r a r1 'tdcl ryl S
Property Own r Name (Please Print)
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Property ignature
Date
STATE OF FLORIDA. COUNTY OF S 1 1 LAC ` _R
ACKNOWLEDGED BEFORE ME THIS I LA DAY OF _ �C
20
BY a n 1 rd Ci M �' WHO IS PERSONALLY KNOWN TO ME �� OR WHO HAS
PRODUCED
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S NATURE OF N r 0M
UBLIC TYPE OR PRINT NOTARY
&&DR99(1 COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/1I/2011 �r
RICHARD DOUGLAS JOHNSON
Nolary Public - Sue of Flnrida
Commissior.pGG084821
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My Comm. Expires Mar 20. 2021
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