HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34992-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following'described property,
21 Q OAKLAND LAKE CIRCLE, FT. PIERCE, FL.34951
(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 beadversely 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-L3-l?.
Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS Z 3 "4 DAY OF 20 Imo.
EY ROBERT SMITHWICK WHO IS PERSONALLY KNOWN TO ME ( OOR WHO HAS
PRODUCED AS IDENTIFICATION.
ERIKA LEBRINI
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
GG084371 COMMISSION NUMBER — — =—
��aJ E B R I N I
State of -Notary Public
Commission # GG 084311
My Commission Expires
March 16, 2021
SLCPDSD Revised 04/11/2011