HomeMy WebLinkAboutFilled Land Affidavit _ 1
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
0
2300 VIRGINIA AVENUE
NOW :FORT PIERCE,FL 34982-5652
: 772)462=.1553 RECEIVED
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FILLED LAND AFFIDAVIT SEP 0 2 2021
st.Lucie County
Pnrmitting
I, the undersigned, am the owner of the following described property,
A IW4 C_
(PareeLId#i;L9gal description/Address)
for which I have applied to St. Lucie.C'ounty for a Final D.eue1Q meat, Permit. In
accepting this Final Development Permit, BP Number"'�,to D (, 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 SILL NOT be adversely affected.
I:further,acknowledge that:in granting,.tliis permit for,the,developmeriti,of.this property-,
'St. Lucie County is neither:;obliged.nor liable to provide for, or maliatain in any--form,
:.adequate drainage :,off my property ,which ..will-not .adversely ;affe',�ct the immediate,
community.
Brian W.-Davidson
Property 0 1`dame(Please Print).
Property Owner. Signature Date
'STATE;GF F1;ORIDAiiCOUNTY OF..BREVARD
ACKNOWL.EDGEL}.BEFORE ME THTS DAY OF 20,
By Brkln W:Davidson, k�FTfT:I3PER50Yikt;EFi',KN4i�;TQiDfE(',y�R W�QT�4S. `
PRODUCED—
AS IDENTIFICATION.
Dina Palrino
SIGNATURE OFNOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
pARRiNO (SEAL)
D1NA 3
ttitV COhtllllSSION#�93564
EXPIRES:February 27.2024
c' PubtxUnderxdters
SLCPDSD Revised 04/11/2011 '':?e.'�'• C�nded Thtu Not3n
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