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 40,
I, the undersigned, am the owner of the following described property,
Cj2b 2 OAKLAND LAKE CIRCLE, FT. PIERCE, FL 34951 6tsi y>
(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 permitfor 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)
Owner Signature Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS DAY OF /y'yavS� , 20
I
BY ROBERTSMITHWICK WHO IS PERSONALLY KNOWN TOME Ct:!!:::5ORWHO HAS
PRODUCED n AS IDENTIFICATION.
\ �1� Nadia Lefevre
SIG TURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
I
GG084371 COMMISSION NUMBER
!I
ISLCPDSD Revised 04/11/2011
ti Y •y NADIA K. LEFEVRE
(SEAL) MY COMMISSION ii FF 144435
EXPIRES: August 28, 2018
a;c'o;
Rf,th Banded Thru Notary Public Underwriters