HomeMy WebLinkAboutFILLED LAND AFFIDAVITi .
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code.Regulations_Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNHU
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
530� OAKLAND LAKE CIRCLE, FT. PIERCE, FL 34951
(Parcel Id#/Legal deseriptibn/Addre'ss)
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 * 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 comlriunity 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. .
NVR; INC. _db YAN HO .ES
Prope me (P se Print)
a-z3-1�
P pe O er Signature i Date
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STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS Z' DAY OF 20
By ROBERT SMITHW ICK WH-0 IS PERSONALLY KNOWN TO ME ( ) OR WHO HAS
PRODUCED AS IDENTIFICATION.
ERIKA LEBRINI -
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY. r
GG084371 COMMISSION NUMBER —
;al� ER EBBINI
'--=01p•R pA<i;-State. of�-N -Notary Public .
__► Commission # GG 0�4371
1 �,�N�"; My Commission Expires
MarcPi 16, 202.1: .
SLCPDSD Revised 04/11/2011
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