HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
c n Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 „ R�CEIVEO
FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of the following described property,
2327-502-0009-000-y CREEKSIDE PLAT NO.4 LOT 1 @ 3457 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 Ow.aer Name (Please Print
04/07/21
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 7 DAY OF APRI L 2021
BY Briarl W. Davidson WHO IS PERSONALLY KNOWN TOME (�R WHO HAS
PRODUCED AS IDENTIFICATION.
i
Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
�Y� DINA
PpRRINO (SEAL)
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MYCOMNIISSIONa �G92564
024
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SLCPDSD Revised 64/I 1/2011
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