HomeMy WebLinkAboutFILLED LAND AFFIDAVIT)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,
, .- . i .'
Cobblestone DR
(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
ion
7.04.0](D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WIL_ L 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 im
community. mediate
Brian W Davidson
Property caner Name (Please Print)
--�=- —le ----- 12/1412017
Property Owner Signa`---
Date
STATE OF FLORIDA. COUNTY OP Br -vard
ACKNOWLEDGED BEFORE ME THIS _ 14 DAY OF December
BY
-" -- ------ _ _..__WHO 15 Pi-RSONALLY KNOWN TO NIE (X ) OR WHO HAS
PRODUCED _
AS IDENTIFICATION
SIGNAC�� _-____-__ -- -----'-- �--__,V_W_(!/l-a_�_oj'lPi -
E OF NOTARY PUBLIC TYPE OR PRINT NOTARy----
- ___.�..-_�C01.1L115SION NL�IBER
(SEAL)
FL4
otary PO4c State of Florida
andra Leone
y Commission GG 020251
SLCPDSDRevised04 I In01 I xpvos 08t10/2020