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
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I, the undersigned, am the owner of the following described property, St Lucie
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 Please Print)
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Owner Signature Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS_ DAY OF OCi� fd�`
, 20,
BY ROBERTSMITHWICK OISPERSONALLYKNOWNTO
L—)ORWHOHAS
PRODUCED
AS IDENTIFICATION.
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SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
Notary Public State of Florida
Andrea Lambert
MY Commission GG 184517
SLCPDSD Revised 04/11/2011 pr �d Expires 02/20/2022