HomeMy WebLinkAboutFILLED LAND AFFIDAVIT® PLANNING & DEVELOPMENT SERVICES DEPARTMENT
e Building & Code Regulations Division
FORT PIERCE, FL 3 98�2-5652 ° `, ,
(772) 462-1553 V'6 `�`
FILLED LAND AFFIDAVIT DEC 1 2017
PERMITTING
St. Lucie County, FL
I, the undersigned, am the owner of the following described property,
Cobblestone DR
(Parcel IM/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
owledge
that as owner of the above described property, and in accordance I with n 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 -- _ 1/2017 Tat�__
STATE OF FLORIDA, COUNTY OF�$' rd
ACKNOWLEDGED BEFORE ME THIS 14 "___ DAY OF December
WHO IS PERS
PRODONALLY KNOWN TOME QLJ OR WHO HAS
UCED
AS IDENTIFICATION
S1GNA E OF NOTARY PUBLIC
TYPE OR PRINT NOTARY "- -""
-..- ----COMMISSION NUMBER
(SEAL)
\ SLCPDSD Revised 04 1 IrO I I
o�tit ^n,�, NotOry P!iD{IC State of Florida
? �, ; Selndra Leone
My Commiss{an GG 020251
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