Loading...
HomeMy WebLinkAboutfilled landPLANNING & 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, (Parcel Id#/Legal description/Address) I'A Q p Q �j ., S.L. 4� for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number � - � 3 * ; 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. IZI! //A/ A411AW Property Owner N ease int) Property Owner Signatur STATE OF FLORIDA, COUNTY OF Date ACKNOWLEDGED BEFORE ME THIS DAY OF 20 BY WHO IS PERSONALLY KNOWN TO ME (E)OR WHO HAS PRODUCED SIGNATURE OF NOTARY PUBLIC COMMISSION NUMBER SLCPDSD Revised 04/11/2011 TYPE OR PRINT NOTARY (SEAL) AS IDENTIFICATION. FLORIDA INDIVIDUAL ACKNOWLEDMENT F.S. 117.05(13) — Effective January 1, 2020 State of Florida County of St Lucie RESECCA MORRIS PAY COMMISSION # GG 080347 EXPIRES: May 7, 2021 Bonded Thru h,lotary Public Ur a writers (Place Notary Seal Stamp Above) Description of Attached Document The foregoing instrument was acknowledged before me by means of V Physical Presence ❑ Online Notarizattio1n\ this I� day of 4W4e")Ler , 2020 , by Complete this section to deter alteration of the document or f, A _ l I Title or Type of Document: F DJ t(j 1)W0\j0V1 (Name of Person Acknowledging) WWLZ' (Signature of Notary Pu, lic—State of Florida) Rebecca Morris (Printed Name of Notary Public) ❑ Personally Known © Produced Identification Type of Identificatio Produced: reattachment of this form to an unintended document. Document Date: I � 1 1-1 1 2020 Number of Pages of Original Document: Signer(s) Other Than Named Above (i.e. witnesses, minors, etc.):