HomeMy WebLinkAboutFilled Land Affidavit,•, .:-:- PLANNING & DEVELOPMENT SERVICES DEPART
• Building &Code Regulations Division R E C E I V ;'a
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 FEB 1 B 2020
(772) 462-1553
ST. Lucie County, Permitting
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,.
. % I t _112% r
u I I—bA - 00 0 V
(Parcel [d#1Legal description /Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
I: 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.
� ) S
Property OWAAr Name (Please Print)
Property igriati re z'
Date
STATE OF FLORIDA. COUNTY OF .�.
ACKNOWLEDGED IIEFORE ME THIS ___ DAY OF �b t tC+
BY W !Vi' � � 20
—— WHO IS PERSONALLY KNOWN ME ( OR WHO HAS
PRODUCED
`-1,3
AS IDENTIFICATION
S NATUREOFN rAR UBLIC ` a1� NjON
TYPE OR PRINT NOTARY
GrrOg4ga) COMMISSION NUMBER
(SEAL)
;. ;�H� .... •,
RICHARD DOUGLAS JOHNSON
SLCPDSDRevised04/11/201I '� ��•�'''
Notary Public - Slate of Florida
Comm:sslor.AGG084821
My Comm. Expires Mar 20.2021
Buneed hough Nalional Notary Aim