HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
SCANNED1 (772)462-1553
By
FILLED LAND AFFIDAVIT
i
I, the undersigned, am the ownei of the following described property,
ya a O OAKLAND LAKE CIRCLE, FT. PIERCE, FL 34951 6 t& 12)
(Parcel I0fLegal
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.
a-z3-l9
Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS Z 3 ra DAY OF -r ek r ` Q"~ l' �, 20 / 8 ,
By ROBERTSMITHWICK WHO IS PERSONALLY KNOWN TOMEL_ OR WHO HAS
PR7ODD�UCCEDE AS IDENTIFICATION.
ERIKA LEBRINI
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
GG084371 COMMISSION NUMBER
ER
`��Nl� ��(41!
EBRINI
ot� _State 0 -Notary Public
Commission # GG )84371
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My Commission Expires
.;OF
' 1 1,1 �.� March 16, 2021
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SLCPDSD Revised 04/1112011