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 SC
S't Co��Q
I, the undersigned, am the owner of the following described property,
o,
�:)acD
(Parcel I
OAKLAND LAKE CIRCLE, FT. PIERCE, FL 34951
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. OWRY6KHOMES
XerN Ie lease Print)
er Signature D5te
a
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME TIES n � DAY OF
BY ROBERT SMITHWICK WHO Is ONALLY KNOWN TO MELD O WHO HAS
-MODUCED _ AS IDENTIFICATION.
rirlarCe LGrn%P,M
TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/12011 919D