HomeMy WebLinkAboutFILLED LAND AFFIDAVITMCI
DEC 2 20��
® PLANNING & DEVELOPMENT SERVICES DEPARTMENT
27o ................... Building & Code Regulations Division
-WM 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 IM/Legal description/Address)
Gtyf'-
for which I have applied to St. Lucie County for a Final Development Permit.
accepting this Final Development Permit, BP Number In
ackledge
that as owner of the above described property, and in accordance I wi hnowSection
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
community. form,
adequate drainage off my property which will not adversely affect the immediate
Brian W Davidson
------------
Property weer Name (Please Print)
Property Owner Signature - _ 12/26/2017
Date
STATE OF FLORIDA, COUNTY OF—Breyartj
ACKNOWLEDGED BEFORE NIE THIS _-Z _` DAY OF December
BY -- _.
PRODUCED 20
WHO IS PERSONALLY KNOWN TOME (X f OR WHO HAS
AS IDENTIFICATION
�SM�dg Leone
S1GNA E OF NOTARY PUBLIC
TYPE OR PRINT NOTARY -
-- _ ---COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04 1 IP_0I I
oryr n�� Notary P!ibiic State of Florida
? � ; Selndra Leone
r � ,� My Commisslan GG 020251
1014 w.� Expiros 08r1012020