HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
' Building do Code Regulations Division
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,
(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 that as owner of the above described property, and in accordance I with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate conununit g
I further acknowledge that in granting this permit for the mentbe dofthis affected.
property,
St. Lucie COU11ty 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.
dcxjm S
Property Owner Name (Please Pr
tY
Pint)
Pro er
iBJature —�
Date
STATE OF FLORIDA, COUNTY OF -Sk- L.,AL• '`
ACKNOWLEnDGED EJEFORE ME THIS_DAY OF r/� 0.r ch
B Y 6 Af67C�vVA—s 20_ ZI
PRODUCED IS PERSONALLY KNOWN TO ME C50OR WJ
HO HAS
I `AS IDENTIFICATION
sQNATURE OF N rAR [1BLIC �1(- 44e Q.19lAi Vt)"�NjOH
I rrt UR PRINT NOTARyV
Cra0eqB111 COMMISSION NUMBER
(SEAL)
'..10.+� _ ; RICHARHOUGLAS JOFiN50N
:• Notary Pu9hc - Stele oI Flnrida
SLCPDSD Revised 04/I I/2011 .•n ��•:
IB m Com:n,sslor. p GG 084821
My Comm Eapnes Ma; 20. 2021
Bunded Ihiough Nalmaal Nalary Assn.