HomeMy WebLinkAboutFilled Land Affidavita¢
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
undersigned, am the owner of the following described property,
327-502-0125-000-3 CREEKSIDE PLAT NO.4 LOT 117 @ 9508 Potomac. DR
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)
04/15/21
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 15 DAY OF APRI L 2021
BY Brian W.:Dayidson WHO IS PERSONALLY KNOWN TO ME 06R WHO HAS
PRODUCED AS IDENTIFICATION.
as Dina Parrino
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
Pp1tRIND (SEAL)
,�•,�c DINA 93564
:•. 3
MY COMMISSIONa 2024
apIReS: Feb tu ry
27,
SLCPDSD Revised 04/11/2011
For'P;°`' 'BondedThNNotaryPu4irUndetwdtms