HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 V IRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
RECEIVED
FILLED LAND AFFIDAVI
DEC fl 3 ZOiB `SCq/y
ST. Lucie County, Permitting f �4(.'j�CN�O
O/j11
I, the undersigned, am the owner of the following described property, ty
4509-807-0003-0004 OAKS AT INDIAN RIVER LOT 6 122 EDEN CREEK LN JENSEN BEACH FL 34957
0?arcelId#/Legaldescription/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.
JEFFREY C SMITH
PropeKoer Name (Pleas Print)
l�L''
P Signature
NOVEMBER 19, 2018
Date
STATE OF FLORIDA, COUNTY OF MARTIN
ACKNOWLEDGED BEFORE ME THIS 19th DAY OF NOVEMBER 2018
BY JEFFREYC SMITH WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED DRIVERS LIC. AS IDENTIFICATION.
GWYNETH ELLYN WOOD
TYPE OR PRINT NOTARY
NUMBER od
No �10yc SltaaoF1odda
'•;�, Commission No. FF 988516
••.,pl„ My Comm. Exp. May 8.2020
SLCPDSD Revised 04/11/2011
3