HomeMy WebLinkAboutFilled Land AffidavitCry . PLANNING & DEVELOPMENT SERVICES DEPARTMENT
MM Building & Code Regulations Division
2300 VIRG(NIA AVENUE
FORT PIERCE, FL 34982-5652 .
(772) 4.62-1553
FILLED. LAND AFFIDAVIT
I, the undersigned; am the owner of the following described property,
�7
7/1
(Parcel [d!#/Legal description/ dress) ------------
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Developient Permit, BP Number aLoLtr-O
that as owner of: the above acknowledescribed property, and in' accordance ] wiiH Section
7.04.0I(D), St. Lucie County"Land Development Code, I shall be responsible for assuring
adequate drainage so that the. immediate commtinit "
I further acknowledge that in granting this permit for the mentdversof ely affected.
St. Lucie County is neither obliged nor Liable to provide for, or maintain in any forty,
adequate .drainage off my property which will not adversely affect the immediate
ediate
ke
;Property Owner Name inf)
Property ignature �7Z�
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED IIEFOR-E ME THIS I '
r'f �j ,�..�DAY OF • r �
BY-- � =a 20_1.4
WHO IS PERSONALLY KNOWN TO MEN 1
PRODUCED r`_ OR WHO I-tAS
t` 1 AS IDENTIFICATION
NATURE OF N rAR �« ^1_ AQC
UBLIC I yPt OR PRINT NOTAARRy\,) JO�1NjOH
4 COMMISSION NUMBER
(SEAL)
,:';�H� p,A •. RICHARD DOUGLAS JOFiNSON
'1^`:. Ln� : '• Nolary Public - Sue of Florida
SLCPDSD Reyised04/11/201I n
I� Comssior,pGGOB4fl21
My Comm Expires Mar 20. 2021
Bunded lhrayh Nalroaal Malay Aisn.