HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING &DEVELOPMENT SERVICES DEPARTMENT
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° 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,
30Lock&olack- D( ,
(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
ackledge
that as owner of the above described property, and in accordance I with nowSection
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community AIL_ LNOT 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
Date
STATE OFFLORIDA, COUNTYOF S[eyard
ACKNOWLEDGED BEFORE ME THIS 14 , _ DAY OF December
BY ------20�]
-- "----_____—_—WHO IS PERSONALLY KNOWN TOME C2LJ OR WHO HAS
PRODUCED
_ -- ---- /_ AS IDENTIFICATION
�EOFN07 SIGNATARY pUgLJC -- ` 'SaH" `f-a ` eme
TYPE OR PRINT NOTARY "- - - -""
__`COMMISSION NUMBER
(SEAL)
F'001P��,otOry P011C State of Florida
andra Leoney Commission GG 020251SLCPDSD Revised 04 11R011 xpiroa 08�10l2020