HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT I FEB 12 2020
I, the undersigned, am the owner of the following described property,
20-?66 -e/za-000y, g,
(Parcel ldtt/Legal description/Address)
I ti
ST. Lucie County, Permitting
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
ack
that as owner of the above described property, and in accordance I with Sectdion
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible fc:lr 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 County 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.
�3 G lM S
Property Owner Name (Please Print)
atProper ignurelDae:
?� LY
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED IIEFORE ME THIS ZZ 1
DAY OF V
PRODUCED
St4NATUREOFN
rAR LIBLIC
G�s'O84ga i) COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
IS PERSONALLY KNOWN
20_A—
OR WHO HAS
_�l 1 AS 1IDENTIFICATION
IC.„AQC q OH
TYPE OR PRINT NOTARY
(SEAL)
RICNAP,ODOUGLASJOHNSON
�•�" i
Nolary Public - Slale of Florida
Camm,sslor. N GG 084821
'••;;�� ;���°:'
My Comm. Expires Mar 20.2021
",,,..
BundedinrayflNalianalNalaryAim.