HomeMy WebLinkAboutFilled Land Affidavit` PLANNING & DEVELOPMENT. SERVICES DEPARTMENT
Building & Code: Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVE6
FILLED LAND AFFIDAVIT APR 3 0 2021
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
2327-502-0017-000-3 CREEKSIDE PLAT NO. 4 LOT 9 . @ 3313 Homestead 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 propertywhich will not adversely affect the immediate
community.
Brian'W. Davidson
-Property Ownier Name (Please Print)
04/05/21
Property Owner Signature Date
STATE.OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF AP R I L , zo 21
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
az o Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
DINAPARRINO (SEAL)
MY COMMISSION GG935643
=;c .- Ej(pIRE N F Na IuZUnd 0247.
SLCPDSD Revised 04/11/2011
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