HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
o FORT PIERCE, FL 34982-5652
(772)462-1553 APR 3 0 2021
FILLED LAND AFFIDAVIT ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
2327-502-0021-000-4 CREEKSIDE PLAT NO.4 LOT 13 @ 9413 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)
04/05/21
Property Owner Signature- Date
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 ()6R WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
DINA PARR► GO
�� MY COMMISSION kG935643
'•' p}(pIFtES; February 27, 2o24
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SLCPDSD Revised 04/11/2011 !`rl' B°ndedThNNolnry