HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
° 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,
Cobblestone DR
(Parcel I&ILegal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
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
Dat-- ------
STATE OF FLORIDA. COUNTY OF Rr -yard
ACKNOWLEDGED BEFORE ME THIS 1^ 4 — DAY OF December
BY ---' 20,-J]
PRODUCED
—" WHO 1S PERSONALLY KNOWN TO ME C f OR WHO HAS
_
/���J� ---,c-- / ,, AS IDENTIFICATION
SIGNA EOFNOTARYPUBLIC --'-- �ia%1#a �o;le
TYPE O RIR1 TNR NP OTARY
_,._—COMMISSION NUMBER
SLCPDSD Revised 04 I Ir2011
(SEAL)
okay Notary Public State of Florida
Sandra Leone
IJ My Commission GG 02025t
9'or*L� expirosowono2o