HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY.
PLANNING &DEVET,&PW,&T SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
5SN 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
7.04.61(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 -2,
Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS Z 3 �d DAY OF -I '''✓ r ` Q~ y �, 20 I�
BY ROBERT SMITHWICK WHO IS PERSONALLY KNOWN TO ME j OR WHO HAS
PRODUCED AS IDENTIFICATION.
ERIKA LEBRINI
SIGNATURE OF NOTARY PUBLIC
GG084371 COMIUSSIONNUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
E B R I N I '
E Fi
State ofl� Notary Public
Commission 0 GO 084371
j9,Fo�F�o`c My Commission Expires
%,, ,,,,r March 16, 2021