HomeMy WebLinkAboutFilled Land Affidavitt��uaal
COUNTY
F L O R I D A
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, j462 34982-5652 let" aa966 19> .
53
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FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property;
2327-502-0024-000-5 CREEKSIDE PLAT NO.4 LOT 16 @ 9519 Potomac DR
(Parcel Id#/Legal description/Address)
for which I have applied to St.1 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 Owr
wr Name (P ease Print
04/6/21
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 6 DAY OF APRI L , 2021
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME ()6 WHO HAS
PRODUCED / AS IDENTIFICATION.
Dina Parrino
SIGNATURE OFNOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
Y DINA
PARRINO (SEAL)
MCOMMISSION 9 GG 935643M.,
`•: pgo.5- February 27, 2024
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SLCPDSD Revised 04/I1/2011