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
I, the undersigned, am the owner of the following described property,
5 a SQ 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. SCANNFD
BY
NVR, INC. dba RYAN HOMES St. LucieCout4y
Property er Name (Please Print)
Property, er.Signature. . _ -Date ------
--
-STATE OF FLORIDA, COUNTY OF-- PALM -BEACH
--- ACKNOWLEDGED.BEFOREMETHIS _ _..91-'- _ DAYOF .20 112'
u'S:Iieith--Tomlinso, R 1NH01SP-ERSONA-iLL-IICNO-WNW' YkH"
_____-- ------ ___-_
PRODUCED AS IDENTIFICATION.
_.. _. - - --------...------
SIGN URE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
_ --------- __,_.___._ __ _.____. _.___.___ _. __._ _ ____—___ _ . _.
_OMMISSION NUMBER____
"P PQ Notary Public State of Florida
Nadia Kietevie--- -
4 My Commission GG 246771
SLCPDSD Revised 04/112011 or ----Expires 06I2B12022_ _ _ _ -
________________________________________________________________________________________________________.