HomeMy WebLinkAboutFilled Land AffidavitCOU NT.Y, .
i l,O-.111.1-.DA.
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regul
2300 VIRGINIA A
FORT PIERCE, FL 3
(772) 462-15
FILLED LAND Al
DEC 0 8
County, Permitting
I, the undersigned, am th-e- owner of the following described property,
00- n0> 0 - b 0 � -
(Parcel ld#/Legal description/Address)
,�;(411 1 U
0 St
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
1. 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 Coutlty 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.
Property CtI er Name (Please Print)
er,
P h'
Pro ignature Date
STATE OF FLORIDA. COUNTY OF St. 114G1!
ACKNOWLEDGED IIEFORE ME THIS '-t DAY OF lwz-
20 LP
By D
PRODUCED UCED � WHO IS PERSONALLY KNOWN TO ME C i OR WHO HAS
PR _
\AS IDENTIFICATION
S NATUREOFN rAR U13LIC ZIC.�AQC� QIR� JO�NjON
TYPE OR PRINT NOTARY
"0841311 COMMISSION NUMBER
(SEAT.)
RICHARD DOUGLAS JD20.2021
SLCPDSDRevised 04/1I/201I ��•�'a
Notary Public - Siale
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