HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
• 2300VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 R4unoO a (772) 462-1553 40 !'nl t�
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FILLED LAND AFFIDAVIT dZOZ Arn
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I, the undersigned, am the owner of the following described property,
2327-502-01357000-6 CREEKSIDE PLAT NO.4 LOT 127 0 9624 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 Ownpr Name (Please Print).
04/15/21
Property Owner Signature gate
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 15 DAY OF APR1 L 2021
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME O WHO HAS
PRODUCED AS IDENTIFICATION.
ate- Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY . .
COMMISSION NUMBER
(SEAL)
NNAPARRIN..
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MY COMh1lSs(ON fF
DCPIIt5. February 27.2024
5onded fiN Notary
SLCPDSD Revised 04/11/201I
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