HomeMy WebLinkAboutFILLED LAND AFFIDAVIT1, 0'
" F T-El
DEC 2011
`-.m .......�o
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,
'
l-,\ Cobblestone Drive
(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
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 weer Name (Please Print)
_ 12/26/2017
Property Owner Signature _ Date
STATE OF FLORIDA, COUNTY OF—Brevard
ACKNOWLEDGED BEFORE NNE THIS--n DAY OF December
BY -
_. 20_ 1-7.�.
— — WHO IS PERSONALLY KNOWN TO ME (? f OR WHO HAS
PRODUCED
`-- -- --- _ ___ AS IDENTIFICATION
� SM#a_ Leone _ S1GNA E OF NOTARY PUBLIC -
TYPE OR PRINT NOTARY
__ _ �_ COMMISSION NUMBER
SLCPDSD Revised 04 1 IiP011
(SEAL)
I40tary Pttblic State of Florida
¢ Sandra Leone
g _ My Commission GG 0202r 1
9'�bi rL� Expeos OE11012020