HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
C � Building & Code Regulations Division
2300 VIRGINIA AVENUE ��®'lauhoj
FORT PIERCE, FL j 462 155382-5652 W ed�Q 6,17 -4sad
FILLED LAND AFFIDAVIT o�/lI3�32i
I, the undersigned, am the owner of the following described property,
2327-502-0114-000-3 CREEKSIDE PLAT NO.4 LOT 106 [cb- 9304 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 Ow r 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 2o21
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME MR WHO HAS
PRODUCED
AS IDENTIFICATION.
�� a�-�+-o
Dina Parrino
SIGNATURE OF NOTARY PUBLIC
TYPE OR PRINT NOTARY
COMMISSION NUMBER
DINAPARRINO (SEAL)
I0NG 935643 # G
MY COMMISS 2024
s p(pIRE i- February 21,
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