HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
0
IV 2300 VIRG NIA AVENUE
FORT PIERCE, FL 34982.5652 T
(772)462-1553
j
FILLED LAND AFFIDAVIT DEC 2 7
I, the undersigned, am the owner of the following described property,
(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
.1 ledge
that as owner of the above described property, and in accordance I with acknowSection
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 _ 12/2fi/2017
Date
STATE OF FLORIDA, COUNTY OFE3fEVard
ACKNOWLEDGED BEFORE ME THIS ^_26_ DAY OF December
BY ----- 20 1_7_,
--,----WHO Is P}:RSONALLY KNOWN TO ME LXJ OR WHO HAS
PRODUCED
--- -~- -- c /,r / /_^_ _ram,,__ AS IDENTIFICATION
S1GNA E OF NOTARY pUgL(C -' �la�ll�t�a_ Z-eo; e
TYPE 0 RIR TNP lIiTNP &,;V - - ---
NUMBER
SLCPDSD Revised 04 111201 I
(SEAL)
o ar ^off Notary Public State of Florida
fi Sandra Leone
0 My Commission GG 020251
9Z•ar,LdF eXPI,'os 0e11Of' 020