HomeMy WebLinkAboutFILLED LAND AFFIDAVITi
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRG NIA AVENUE
FORT PIERCE, FL 34992-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the
undersigned, am the owner of the following described property,
Cobblestone Drive
----- --n—gal uesertpnon/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 acknowledge 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
community. form,
adequate drainage off my property which will not adversely affect the immediate
Brian W Davidson
Property weer Name (Please Print)
_ 12/26/2017
Property Owner Signature Date
STATE OF FLORIDA, COUNTY Of--SM yard
ACKNOWLEDGED BEFORE ME THIS _26_,__` DAY OF _ December
---- 20_ 1.7�
BY
— --- n WHO IS PERSONALLY KNOWN TO ME (X ) OR WHO HAS
PRODUCED
7 `-- `� AS IDENTIFICATION
SlGNA EOFNOTARYPUBLIC
TYPE OR PRINT NOTARY —
-- - _—.._COMMISSION NUNIBER
(SEAL)
o„par rp� Notary Ptibilc State of Florida
Sandra Leone
My Commission GG 020251
SLCPDSD Revised 04 1 U.OI I 9�'oil �dF Expou 0ei1012020