HomeMy WebLinkAboutFILLED LAND AFFIDAVIT* PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
® FORT PIERCE, FL34982-5652 RECEIVED
(772) 462-1553
�GANNED FILLED LAND AFFIDAVIT OCT 2 9 t018
BY ST, LUCI® Eeunty, Permitting
ocie County
I, the undersigned, am the owner of the following described property,
3422-211-0012-000-0 /7061 S US Highway 1
(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 , 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.
John F Rasmussen for PSL Property Holdings LLC
Property��Please [) _
ej 3 ,-3 rs-
Property C) er Signature Date
STATE OF FLORIDA, COUNTY OF UV aAN !r
ACKNOWLEDGED BEFORE ME THIS 6 ti DAY OF I7lL(Q 1ktj- , 20� U • .
BY)D6. A �C4i iM1l+S�P���''1/1 f� WHO IS PERSON•'A'LLLYYVtKNNOOWN TO ME (� ^�t OR WHO HAS
PRODUCED 1�- •DL, AS IDENTIFICATION.
SIGNAT E^�OF JOTARY PUBLIC
''\ DID J I COMMISSION NUMBER
SLCPDSD Revised 04/112011
TYPE OR PPINT NOTAR
•:"••; JOYLHUMPHREY
(SEAL) . : ••t;: Commission # GG 041754
j ,;.p g Expires October25, 2020
t
•'. r; R••' 9adedTWvTroyFainlroaadre8M VS-7019