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,
3218 Trinity Cir
(Parcelld#/Legal
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.
Brian W. Davidson
Property Ow r Name Please Print)
_ 1/6/20
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 6 DAY OF January ,2020
By Brian W. Davidson WHO IS PERSONALLY KNOWN TOME f�) OR WHO HAS
PRODUCE AS IDENTIFICATION.
—^ Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
,�; DINA PARRINO
_ f ._ WCOMMISSICNSFF957800
EXPIRES: February 27, 2020
Bonded Thru Notary Public Undeiwrilers
SLCPDSD Revised 04/11/2011