HomeMy WebLinkAboutFilled Land Affidavit�':l =:-° PLANNING &DEVELOPMENT SERVICES DEPARTMENT
' Building & Code Regulations Division
now 1 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
I ?ao o6�t✓( 0003 —3 L (Parcel Ida/Legal description/Address)
for which I have applied to St. Lucie County for a Final Developmerl.t Permit. In
mer
accepting this Final Development Permit, BP Nub
that as owner of the above described property, and in accordance I. acknowledge
section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible fc:1r assuring
adequate drainage so that the immediate corrmunit g
I further acknowledge that in granting this permit or�he mentdofthis aoleert ,
St. Lucie County is neither obliged nor liable to provide for, or maintain in aproperty,
p y�
adequate drainage off my property which will not ad
community. versely affect the immediate
t'
Property Owner Na a (Ple�1,inl_—)
Property iglature � Z �3 Z�
Date
STATE OF FLORJDA. COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 43
--DAY OFBY
20 ZJI
�— WHO IS PERSONALLY KNO
PRODUCED TO MET(�pR WHO HAS
AS IIDENTMICATION
S NATURE OF N rAR UBLIC �IC.NAQ�yy"'N OA/
TYPE OR PRINT 1,4OTARY\1
4 Ct)MMJSSION NUMBER
(SEAL)
SLCPDSDRevised 04/11/201I
• RICHARD DOUGLAS JOHNSON
ry • NolaPubht - Sue of Flnrida
: a�•: COMM-551orMGG084821
`• ;E i 1�w�;' My COMM. Expires Mar 20. 2021
Bunded lNUyh Nabaaal Malary Aisnn.