HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
r Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34952-5652
- - - _ _ _ (772) 462-1553 - -- -
FILLED LAND AFFIDAV
-- -- ----------- _ -JUL_3120?9 -----------
ST. Lucie CountytPermlttino
I, the undersigned, am the owner of the following described property, �GQNNED
5a 19 OAKLAND LAKE CIRCLE, FT. PIERCE, FL 34951 aM, B k�tnawa4a.
(Parcel-IO/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. dba-RYAN HOMES
Property weer Na _ _ Print)
- ---------- Property er_Signature ---- --- ------- -------Date. ---------------- --------- -- --
--—STATffOF-FLORR)A; COUNTYOF-PALM BEACH- - - - - - - - - -- - - -
ACKNOWLEDGED BEFORE ME THIS,�DAY OF - mow - __----.20- - - - - - --g—Keitb_TOmfiason -_ _ — _.._ wI309S:-ERSONALLY-K-NCMt r�i p—w2o:HA
PRODUCED AS IDENTIFICATION. _
___________ __ _ �— _._- _------...__----- -
--_____-__---_-Nadia:Lefevre====-=________-______----____-__ _
IGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY -
COi
a
SLCPDSD Revised 04/11/2011
K Lefevre
imiu mGG 24677-1--- -- -- ---
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