HomeMy WebLinkAboutFilled Land AffidavitM- PLANNING & 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,
2327-502-0132-000-5 CREEKSIDE PLAT NO. 4 LOT 124 (ED 9612 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 Owacr Name (Please Print)
04/15/21
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 15
BY Brian W. Davidson
DAY OF APRI L 2021
WHO IS PERSONALLY KNOWN TO ME ()69 WHO HAS
PRODUCED
AS IDENTIFICATION.
a
Dina Parrino
SIGNATURE OF NOTARY PUBLIC
TYPE OR PRINT NOTARY
COMMISSION NUMBER
- (SEAL)
r,u
DINAPARRINO
t# GG 93VA3
MY COMMISSION
fXpiRtg; February 27, 2024
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SLCPDSD Revised 04/11/2011 '.....