HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building &Code Regulations Division
2300 VIRGIMA AVENUE
FORT, PIERCE, FL 34982-5652
(772) 462-1553
FILLED. LAND AFFIDAVIT
I, the undersigned,:am the owner of the'following described Property,
(Parcel ld#/Legal'description/Address)
for which' I have applied to St. Lucie
gCounty, for a Final Development Permit Iri.
acceptin:'this Final Development Permit, BP.Number 2�
that as owner .of:. the above described o ert and ®��I acicnow(edge
7.04.01(D),'St. Lucie County Land Developmen Code, I sh 11 be responsible`iih assurion.
adequate drainage so that the; immediate corrmmunit' «!IL-L NOT be adversely affected
( further acknowledge that in granting ahis permit for the development of thisY �o e
St. Lucie County -is. neither obliged nor liable. to provide for, or maintain in any Property,
adequate drainage off my property which will not adversely . af%ct the imm d a
community. _ to
r G0" S.
Property Owner Name (Please intj
Property: igaature
4 Date
STATE OF FLOR1DA. COUNTY OF
ACKNOWLEDGED EIEFORE ME THIS D,�1' OF &�cA rf�..
BY a20_'7,J
WHO IS PERSONALLY KNOWN TO ME
PRODUCED � R WHO FIAS
AS IDENTEFICATION
SMbNATURJ OF N rAR UBLICIC'�AQ� Job.
TYPE OR PRINT NUARYV NJON
4 ) COMMISSION NUMBER
SLCPDSD Reyiseci 04/11/201 I
(SEAL)
RICHAP,000UGLASJOHNSON
' • n�� . • =
Nolary'Public -Slate of Florida
Camm,sslor, p GG 084821
My Comm Empires Mar 20. 2021
BundedIhio yhNationalrlol3ryAi n,