HomeMy WebLinkAboutFilled Land AffidavitPUNNING & DEVELOPMENT SERVICES DEPART IV ENT
II 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,
2327-502-0108-000-8 / Creekside Plat # 4, Lot # 100 / 9212 Potomac Dr, FT Pierce
(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 Ow r Name lease rent
2-2-22
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF BREVARD
ACKNOWLEDGED BEFORE ME THIS 2 DAY OF February 12022
BY Brian W. Davidson WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OFNOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
ppR{tINO ... - (SEAL)
DIVA
'i14Y.".,
MY COMMISSION f# GG 936643
pCpIRES:Febnlary
27.2024
TAN Notary PubllcUnderm*13 °i
SLCPDSD Revised 04/11/2011 orF °• fionCed