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
FEB 12 2020
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
��bIJ �-� a 3 70� ac�l o Z
o0
(Parcel i`d+�/Legal descr• lion/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
that as owner of the above described' property, and in accordance I with Sect 'on
7.04.0l(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 COLIIIty 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.
� G-� `7CJOL.
Proper Amer Name (Please Printl
Propertyl�ature
4Dat[-"L
STATE OF FLORIDA, COUNTY OF S1
ACKNOWLE GED E)EFORE ME HIS —_DAY OF �`ei�l (.r 20_�! �J
BY CV ` IS PERSONALLY KNOWN T (�, OR WHO HAS
PRODUCED
`AS IDENTIFICATION
tNATU'RE OF N r- R UBLIC IL�AQ� ally VD`NNd pH
TYPE OR PRINT NOTARY
GrroBq COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
RICHARD DOUGLAS JOHNSON
NalaryPublic - Sul' of Florida
;� " Comm,ssior,pGG084821
IJ My Comm. Expues Mar 20.2021
,Aundedhough NabonalhlolaryAssn.