HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
` Building & Code Regulations Division FAPR
IVES
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 02021
FILLED LAND AFFIDAVIT ST• Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
2327-502-0010-000-4 CREEKSIDE PLAT NO.4 LOT 2 @ 3453 Trinity CIR
(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 Owner Name (Please Print)
04/05/21
Property Owner Signature ate
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 ()6R WHO HAS
PRODUCED AS IDENTIFICATION.
a-L-o Dina Parrino
SIGNATURE OFNOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
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pARRINO (SEAL)
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EVIRES:Februry272024
SLCPDSD Revised 04/11/2011
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