HomeMy WebLinkAboutFilled Land ApplicationRE.CEIV'SD JUN 0 9'2017
PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations. Division
2300 VIRGINI.4AVENUg:
FORT PIERCE, FL 3498275632
(772) 462-1593
FILLED LAND AMDAVIT
I, the undersigned, am the owner•of the following.dese ' bed property;
2326-600-0120-000-6/ 3121 Yellowstone CIR
(Parcel Id#/Legal •descriptfon/Address).
for which I have ' applied to St. Lucie County for a Final Development Permit:
accepting this Final Development Permit, BP Number... n
I
that as owner of the above described ro ert. and ' in accordance I with apkn Sectioge
n
7.0.4.U1(D),:St; Lucie County.LArid Development Code; I shall be:responsHe' for assuring
adequate drainage so. that the immediate community W L NOT be adversely affected.
I further acknowledge that in. granting this permit for. the development of thisprope
St. Lucie .County is neither.- obliged nor liable to provide for, or maintain in an form,
adequate drainage off my property . which will not adversely affect the immediat
community.
Brian W DaVidson
Property ,caner Name (Please Print)
6/7/2017
Property Owner Signature
Date
STATE OF FLORIDA, COUNTY OF 6� vard
ACKNOWLEDGED BEFOREivi6TMS7_DAYOF June
BY ,20 17
O IS PERSONALLY PRODUCED KNOWN TO ME f XX1 OR WHO:HAS
f AS IDENTIFICATION,
SIGNA E OF NOTARY PUBLIC
T
YPE OR PRINT NOTARY
._COMMISSION NbMBER
SLCPDSD Rayised 04f112011
(SEAL)
Notary Public Stete of Florida.
Sendra.Leone
My CommIsslop GG 020251
Exp1m oemp/2020