HomeMy WebLinkAboutFilled Land AffidavitNING & DEVELOPMENT SERVICES DEPARTMENT
PLAN
Building & Code Regulations Division
2300 VIRGrNIA AVENUE RECVVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 FEB 12 2020
�T. Lucie County;, Permittingj
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following desbribed property,
I,rarcel Idg/Legal ddcription/Address)
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, an—d— in �accordance with Section
7-04-0l(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community 3� �LL N�QT be adverse iy'affected.
I further acknowledge that 'n granting this permit for the development of this property,
St. Lucie COLI[Ity is neither obliged nor liable to provide for, or maintain in an form,
y
adequate drainage Off my property which will not adversely affect the immediate
community.
Fropert3dO�Wner Name (Please Print)
gnlu
Property ignature "'64--
Dal&— I
STATE OF FLOR-IDA, COUNTY OF_S:fl
ACKNOWLEDGED EIEFOR-E ME THIS DAY OF j�4 20
By _kX_ � :4� L
PRODUCED —WHO IS PERSONALLY KNOV7i7TO ME C�4 OR WHO HAS
AS IDENTIFICATION
S NATUREOFN
r�A,R UBL[C�� Q.19 �A 3
I YPE OR PRINI NU I A.RY\3
CoMMISSIONNUMBER
(S E A.L)
RICHARD DOUGLAS JOHNSON
Nolary Public - Sue of Florida
SLCPDSD Revised 04/11/2011
Comnissior. # GG 084 821
My Comm. Expires Mat 20. 2021
Bunded nough Ndlio,9al Halary Aj5n.