HomeMy WebLinkAboutFilled Land Affidavit i
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
- Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
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FILLED LAND AFFIDAVIT
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I, the undersigned,am the owner of the following described property,
2327-502-0084-000-3 CREEKSIDE PLAT NO. 4 LOT 76 @ 3321 TRINITY CIR
(Parcel Id#/Legal description/Address)
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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
7.04.0 1(D),ISt. 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. D i avidson
Property Ow r Name(Please Print)
04/05/21
Property Owner Signature Date
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STATE OF FLORIDA,COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF AP RI L 20 21
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME O WHO HAS
PRODUCED AS IDENTIFICATION.
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a +-o Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
PpRRINO (SEAL)
DINA
MY COMMISSION#GG935643
�(PIRES:February 27,2024
SLCPDSD Revised 04/11/2011
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