HomeMy WebLinkAboutFILLED LAND AFFIDAVITW—M
PLANNING & 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,
(Parcel Id#/Legal
Cobblestone DR
r+uuress)
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)
operty Owner Signature _ 12/14/2017
Pr
Dt--a------
STATE OF FLORIDA, COUNTY OF—B'rev$rd
ACKNOWLEDGED BEFORE ME THIS _14 ______ DAY OF December
8Y------� �0--� 7
WHO IS PERSONALLY KNOWN TOME (X l OR WHO HAS
PRODUCED
Q� AS IDENTIFICATION
SIGNA E OF NOTARY PUBLIC --' "� "ra �o�P'
TYPE OR PRINT
--COMMISSION NUMBER
(SEAL)
oar p4Q, Notary P.��Iic State of Florida
Sandra Leone
- My Commission -13 020251
SLCPDSD Revised 04 I Il.011 9j;-0",4 expires 08,10/2020