HomeMy WebLinkAboutFILLED LAND AFFIDAVIT4 PLANNING & DEVELOPMENT SERVICES DEPARTMENT
MN 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,
3100 Yellowstone CIR
(Parcel I& 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 weer Name (Please Print)
-- Property Owner Signature 10/25/17
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 25 BY DAY OF October
,20 17 PRODUCED —
WHO IS PERSONALLY KNOWN TO ME ( X ) OR WHO HAS
OF
SLCPDSD Revised 041112011
ARY PUBLIC
COMMISSION NUMBER
AS IDENTIFICATION,
sahcl�a Leolle
TYPE OR PRINT NOTARY
(SEAL)
o,P** nk" Notary Public State of Florida
? .. Sandra Leone
y c. My Commission GG 020251
?oF iv Expires 08110/2020