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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, 2327-502-0131-000-8 CREEKSIDE PLAT NO.4 LOT 123 @ 9608 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 OwSer Name (Please Print) 04/05/21 Property Owner Signature ate STATE OF FLORIDA, COUNTY OF BREVARD ACKNOWLEDGED BEFORE ME THIS 5 DAY OF AP R I L . 20 21 BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. o DinaParrino SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER RRINO (SEAL) 3 EKE ON iF 927. 20r14 bNai4rycUndefw(11e15SLCPDSD Revised 04/11/2011 P