HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
�.,. Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
SCANNED
BY
St Lucie County
I, the undersigned, am the owner of the following described property,
,53ZLA 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.
NVR, INC. RY HOMES
Prope er N e lease Print)
i- Zlo -% - i
4�jO61F Owner Signature Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS ?-0 DAY OF 5QCN--?-%e vim%,& V 20 -, 4+
BY ROBERT SMITHWICK
PRODUCED
WHO IS PERSONALLY KNOWN TO ME (_, OR WHO HAS
n` Nadia Lefevre
L8I�TURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
GG084371 COMMISSION NUMBER
�Ksy^ Notary Public Site of Ftot )
Nadia K Lefevre
MY Commission GG 2Q8771
."Or Expires o8/28/2022
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.