HomeMy WebLinkAboutFILLED LAND AFFIDAVITSJGANNM
By
)t l ude Co
PLANNING & DEVELOPMENT 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,
rj2010 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 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 METHIS . 2 3 "'DAY OF 20
r ` czr r �, �
BY ROBERT SMITHWICK WHO IS PERSONALLY KNOWN TO ME j!! OR WHO HAS
PRODUCED AS IDENTIFICATION.
ERIKA LEBRINI
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
GG084371 COI%BHSSIONNUMBER
E B R I N I $tate of� Notary Public
Commission GG 084.311
y Commission Expires
M Marz 16, 2021
SLCPDSD Revised 04/11/2011