HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-I553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
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.
Ii / m
Property r any (Please Print)
operty Owner Signature Dat
STATE OF FLORIDA, COUNTY OF-,52 /J t &t e
ACKNOWLEDGED BEFORE ME THIS2 ( DAY OF OCfyh .. d?
BY 1VI Il larn Aila IS WHO IS PERSONALLY KNOWN TO ME (FOR WHO HAS
PRODUCED ( AS IDENTIFICATION.
'STGN?ATURE OF NOTARY PUBLIC
A/✓ 7 607 COMMISSION NUMBER
SLCPDSD Rwiwd 04/11/201 I
TYPE OR PRINT NOTARY
✓a •=EXPIR6,2021
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE -
FORT PIERCE, FL34982-5652 RECEIVED
(772) 462-1553
SCANNED JAN 'p29
BY FILLED LAND AFFIDAVIT
ST. Lucle County, Permitting
St. Lucie County
I, the undersigned, am the owner of the following described property,
Cr- 8340.000-1
description/Address)
for which I have applied to St. Lucie County for i a Final Development Permit. In
accepting this Final Development Permit, BP Number 19 10 - 0 Ll 3 LI, 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. ,
Bryan 19aams
Property Owner Name (Please Print)
�"—� i $ '2 0
r�operey gnature Date
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STATE OF FLORIDA, COUNTY OF SQ I r1I U t l Jl
ACKNOWLEDGED BEFORE ME THIS _ g DAY OF ,I Q n u G r y 20 20
BY— 514arl 13dU m c WHO IS PERSONALLY KNOWN TO MEL/I ORWHO HAS
PRODUCED
Dp AS IDENTIFICATION.
°" i n1tMAe �p w,Ia3 Joymjd "
NATUppRE OpF 1 TAR UBLIC TYPE OR PRINT NOTMAY
0 0 S Z I COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
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RICHARD DOUGIAS JOHNSON
NateryPubk-State of Fwda
Commission#GG084827
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My Comm. Expires Mar 20,2021
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