HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT' SERVICES DEPARTMENT
Building:& Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
.2327-502-0094-000-6 CREEKSIDE PLAT NO. 4 LOT 86' @ 3419 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 r Name (Please Print)
: 04/05/21
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF AP R I L , 2021
BY Brian W.:DByidson WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
D �0
INAP 1
N SEAL
3 ,►t `!'r MY COMMISSION fF GG
'•;EXPIRE$' ebrua 27, 2 4
SLCPDSD Revised 04/11/2011
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