HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
Nil 2300 VIRGINIA AVENUE
W FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
2327-502-0022-000-1 CREEKSIDE PLAT NO.4 LOT 14@ 9503 Potomac DR
(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 Owner Name (Please Print)
04/05/21
Property Owner Signature Date,
STATE OFTLORIDA, COUNTY OF'BREVARD
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF APRI L 2021
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME () WHO HAS
PRODUCED AS IDENTIFICATION.
�� a�-y--a DinaParrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
DINAPARRINO
(SEAL)
' ° MY COMMISSION
EebNary27,2024
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SLCPDSD Revised 04/11/2011
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