HomeMy WebLinkAboutFilled Land AffidavitC7 _q _._•. :;;;:;. PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
23DO VIRGrN AAVENUE
FORT PIERCE, FL 34982-5652 Rb V�i1
(772) 462-1553
FEB 12 2020
FILLED LAND AFFIDAVIT
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
� S� 1 g
(Parcel Id#/Legal description/Address) I—��—
c
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
acknowl
that as owner of the above described property, and in accordance I with Sectdion
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.
✓-
ZIOvname (Please Print)
gnature Date
STATE OF FLORIDA, COUNTY OF 6 ,
ACKNOWLEDGED BEFORE ME THIS r
DAY OF
BY WHO IS PERSONALLY KNOWN TO ME
�1— XOR WHO HAS
PRODUCED _
\AS IDENTEFICATION
S NATURE OF N rAR UBLIC
TYPE OR PRINT NOTARY
GrrOg4gat COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
RICHARD DOUGLAS JOHNSON
Notary Public - Sue of Florida
Comm-ssion9GG084821
I�
V..'
My Comm. Expires Mar 20. 2021
Bunded INGgh NabanM Nalary Assnn.
►A