HomeMy WebLinkAboutFILLED LAND AFFIDAVITprrmcn JUN 09 2017.
PLANNING & DEVELOPMENT SERVICES D
' EPAR
TMENT
Building &Code Regulations.Division
FOR300 VIRGINL4 AVENUE:
T PIERCE, FL 34982=5652
(?72)4b2-1553
FILLED LAND A)E'FIDAVIT
I, the undersigned, am the owner -of the following.deseribed property;
2326-600-0110-000-3 /' 8516 Cobblestone DR
(Parcel Id#/Legal description/Millress)
for which I have applied to St. Lucie County for a Final Development Pe
accepting this Final: Development PermitBP Number pn : Iin
,
that as owner of the above. described property; and in accordance :With Sectacknowleion
7.04.01(D),. St.. Lucie County. Land Development Code, I shall be responsible for assurin
adequate drainage so, that, the immediate community WILL NOT be adversely affected.
I further, acknowledge that. in. granting this WILL
-for the development of this property,
St. Lucie County is neither: obliged nor liable to provide for, or maintain in an form
adequate drainage off .m
y property which will � not ' adversely affect the immediate
community.
Brian W Davidson
Property caner Name (Please Print)
Property O�Vt1er Signature 6/7/2017
' Date
STATE OF fLORIDA, COUNTY OFFS,
ACKNOWLEDGED BEFORE tuft THIS 7 'une
BY AY OF. zo .17
D
wN0 IS PERSONALLY KNO WN TO ME �) OR 1VFI S
PRODUCED
:AS IDENTIFICATION:
S1GNA E OF NOTARY PUBLIC sQN�ira -� 2��f2
TYPE OR PRINT NOTARY
- �COMMISSION NUMBER
(SEAL)
o�V� "4% .Notary Public State of Florida. :
Sendra.Leone
SLCPDSD Revised 0411112011 G� My Commisslon GG 020251
'�oF i� EKpiree 08110/2020