HomeMy WebLinkAboutFILLED LAND AFFIDAVITt{. PLANNING & DEVELOPMENT SERVICES DEPARTMENT
° Building & Code Regulations Division
2300 VIRGNI IA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel IM/Lelgal description/Address)
I'
MOM
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)
Property Owner Signature -- ---- 12/14/2017
STATE OF FLORIDA, COUNTY OF=_BreVard
ACKNOWLEDGED BEFORE NEE THIS _14 DAY OF December
_-.._�_._____..,__—.-------' 2U_��
BY
WHO IS P} RSONALLY KNOWN TO ME (X 1 OR WHO HAS
PRODUCED
- -- _—__--- "-- —"`-- ---- --------AS � // IDENTIFICATION
SlGNA E OF NOTARY PUBLIC SM/`m `"eme
TYPE 0 NRIPR-
-__ — _ COMMISSION NUMBER
SLCPDSD Revised04 I IP-011
(SEAL)
=o,0Zll�11-.% Notary Ptib'ric State of Florida
Sandra Leone
My Commission GG 020257
p� or'Fv� t:uPitos 08r10l2020