HomeMy WebLinkAboutFilled Land ApplicationPLANNING & 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,
8453 Cobblestone DR
(Parcel IM/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
owledge
that as owner of the above described property, and in accordance I with n 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 wner Name (Please Print)
11/08/17
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 8 DAY OF November
BY ,20 17
PRODUCED WHO IS PERSONALLY KNOWN TO ME ( X 1 OR WHO HAS
S1GNA UAKb C - sm#a Lem
TYPE OR PRINT NOTARY
- ._COMMISSION NUMBER
(SEAL)
SLCPDSD Revised OVI 1/2011
AS IDENTIFICATION
Ll�
� f:Kplroe 0a/10/2020