HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
WAR Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
17771dF�_Ist�
'RECEIVED _
FILLED LAND AFFIDAVIT FEB 0 5 2020
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
acicnowl
that as owner of the above described property, and inzacccord�e 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.
?ars I C. t' A &JLm
Property caner Name (Please Print)
Property Z
P �Y igraature Date
STATE OF FLORIDA, COUNTY OF_4-54- L4-4c-� ,e—
ACKNOWLEDGED EIEFORE ME THIS ZZ
_ DAY OF 20 •� 4
BY tr G{/I �'1 O IS PERSONALLY KNOWN C�-
OR WHO FIRS
PRODUCED
AS IDENTEFICATION
S NATURE OF N rAR UBLIC �ILNAP� ` qw Jo�N, ON
TYPE OR PRINT NOTARY\l
GGo84a�t COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
RICHARDDOUGIASJOHNSONz%'
fiNolaryPuShc-SlaleolFlnridaConn-wor,
q GG 084821My
Comm. Expires Mar 20.2021F��.i,�y"
Bundedlhra,yhNalmna)MalaryAisn.