HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building.& Code Regulations Division
2300 VIRGINIA AVENUE iI EC E IV E D
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,
2327-502-0136-000-3 CREEKSIDE PLAT NO.4 LOT 128 @ 9700 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 Ownrr Name (Please Print)
04/05/21
Property Owner Signature ate
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF AP R I L 2021
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME ()69 WHO HAS
PRODUCED AS IDENTIFICATION.
DinaParrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
DINAPARRINO 3
MY COMMISSION f# GG 93564
'• F,(pIRES: February 27, 2024
16Under4ers
SLCPDSD Revised 04/11/2011
a'f odr ;°e Bonded Thru 140b Publ