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,
2327-502-0129-000-1 CREEKSIDE PLAT NO.4 LOT 121 @ 9600 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
119 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,
JG.eG St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
= 5� 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.:Davidson WHO IS PERSONALLY KNOWN TO ME ()& WHO HAS
PRODUCED AS IDENTIFICATION.
ate+ a Dina Parrin0
SIGNATURE OFNOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
DINpPWRIN6
(SEAL)
GG 935643
MY COMMISSION #
FXPIRES. February 27, 2024
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Bonded ota Publ�Undervntters
SLCPDSD Revised 04/11/2011 mNN n