HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
IMP 2300 VIRGIMA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
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I,the undersigned, am the owner of the following described property,
(Parcel Ida/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 , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for 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.
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Prope ty Owner Name(Please Print)
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Property ignature Date
ISTATE OF FLORIDA,COUNTY OF
II ACKNOWLEDGED BEFORE ME TINS�/�a(`3 DAY OF ftI2 Y I `-
BY 1 ?V 1 0 9 WHO IS PERSONALLY KNOWN TO ME(_ 1 OR WHO HAS
PRODUCED AS IDENTIFICATION.
- 11 44 5
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SIUATURE OF N CAR UBLIC TYPE OR PRINT NOTARY
&&0848aI COMMISSION NUMBER
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(SEAL)
RICHAP,D DDUGLAS JDHNSDN
• 1A -,% Nolary Public-Sue of Florida
l ;• Commisvor k GG 084A21
SLCPDSDRevi5ed04/11/2011 My comm.upiresMar20,2021
fO;,;,`, 9wCedWwyhNal+osalClalaryAisn.
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