HomeMy WebLinkAboutFilled Land Affidavit� IREC4flVED
NOV 0 g 2011
PLANNING & DEVELOPMENT SE VIA x APermitting
a Department,FL
,�;y, FL
• 1 Building & Code Regulati
us fxvisiotr-
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,
3108 Yellowstone CIR
(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
acknowledge
that as owner of the above described property, and in accordance I 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 caner Name (Please Print)
10/25/17
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF_revard
ACKNOWLEDGED BEFORE ME THIS 225 BY DAY OF October
,20 17
PRODUCED WHO IS PERSONALLY KNOWN TOME LXj OR WHO HAS
AS IDENTIFICATION,
S1GNA E �COF NOTARY PUBLIC Lmetra Leon
TYPE OR PRINT NOTARY
— OMMISSION NUMBER
(SEAL)
ME
lic State of Florida
onesion GG 020251
SLCPDSDRevised04/11/2011 70/2020