HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
WINS 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,
description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
ackedge
that as owner of the above described property, and in accordance I with nowlSection
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community 3Y-E.LL 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 caner Name (Please Print)
11 /30/2017
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF_BgVard
ACKNOWLEDGED BEFORE ME THIS 30 DAY OF November
BY 2p 17
PRODUCED
WHO IS PERSONALLY KNOWN TO ME CX ) OR WHO HAS
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SIGNA I UAL OF NOTARY PUBLIC sa��Ya �2O1?6
TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/1 IRol I
AS IDENTIFICATION.
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