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,
2327-502-0018-000-0 CREEKSIDE PLAT NO.4 LOT 10 @ 9401 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 Ow r Name (Please Print)
;��z 04/05/21
Property Owner Signature ate
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF APRI L 20 21'
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME () WHO HAS
PRODUCED AS IDENTIFICATION.
�Parrin�o
SIGNATURE OFNOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
DINpPp,RRiNO GG 935643
MY C0M6USSION f#
N 27 2024
} e � N peh Ir underoers
SLCPDSD Revised 04/11/2011 ;+�F"` �' 60ndodlbtu otary p