HomeMy WebLinkAboutFilled Land Affidavit, signed by contractor, not owner PLANNING&DEVELOPMENT SERVICES DEPARTMENT
SUM` Building&Code Regulations Division
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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,
2327-502-0055-000-1/Creekside Plat#4/Lot 47 a 3302 Trinity Cir
(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.
Brian W. Davidson
Property Ow r Name(Please Print)
3/4/21
Property Owner Signature Date
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STATE OF FLORIDA,COUNTY OF BREVARD
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ACKNOWLEDGED BEFORE ME THIS 4 DAY OF March 2021
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME()6R WHO HAS
PRODUCED AS IDENTIFICATION.
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as Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
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3�; MY COMMISSION� 92024apIRE&FebruabondedihNNo►uYPubnd "tars
SLCPDSD Revised 04/11/2011 "'0°`;
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